A Case Report: W-Plasty For Secondary Phimosis. An Innovative Approach To An Established Challenge
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Abstract
Secondary phimosis is a technical error that occurs when the prepuce's inner mucosa layer is not sufficiently removed, and it heals with a fibrotic ring after circumcision. Re-circumcision remains the mainstay for in managing secondary phimosis however it still may lead to complications such as formation of fibrotic scar. Here, we propose a new method for revision of secondary phimosis by implementing the W-plasty technique. W-plasty is a new approach for secondary phimosis. It not only helps to release the cicatricial scar, but also prevents further scarring in secondary phimosis.
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References
Mohammad ZI. Secondary phimosis after circumcision. Pakistan Journal of Medical and
Health Science. 2019;13(4):782-4.
Kidger E, Haider N, Qazi A. Acquired phimosis after plastibell circumcision: a preventable
consequence. The Annals of The Royal College of Surgeons of England. 2012;94(6):e186-8.
Goutos I, Yousif AH, Ogawa R. W-plasty in scar revision: geometrical considerations and
suggestions for site-specific design modifications. Plastic and Reconstructive Surgery–Global
Open. 2019;7(4):e2179.
Al-Mayoof AF, Almushhadany OE, Joda AE, Mohammed MK. Evaluation of risk factors for
secondary phimosis in children. International Journal of Surgery Open. 2020;24:69-72.
Borges AF. Improvement of antitension-lines scar by the “W-Plastic” operation. British Journal
of Plastic Surgery. 1959;12:29-33.
Borges AF. W-Plasty. Annals of Plastic Surgery. 1979;3(2):153-9.
Sokolowich D, Zimman O. W-plasty: make it easy. Plastic and Reconstructive Surgery.
;83(5):928-9.
Özdemir T, Sayan A, Candan B, Orhan G, Köylüoğlu G. Secondary phimosis after circumcision.
Turkish journal of urology. 2019;45(2):135.