Quick Answer
Preputioplasty widens the foreskin opening while preserving the foreskin. It costs Rs 12,000 to Rs 30,000 and suits mild to moderate phimosis. Circumcision permanently removes the foreskin and costs Rs 15,000 to Rs 45,000. For severe phimosis or BXO circumcision is preferred.
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Men with phimosis who want to preserve their foreskin have an alternative to circumcision called preputioplasty. Here is a complete comparison.
Preputioplasty is a minor surgical procedure that widens the foreskin opening (preputial orifice) without removing the foreskin. It involves making a small incision at the tight area and closing it in a different direction to widen the opening. It is done under local anaesthesia and takes 20 to 30 minutes with same-day discharge.
Mild to moderate phimosis where the foreskin can partially retract. When preserving the foreskin is important to the patient (personal, religious, or cultural preference). When there is no active infection, BXO, or severe scarring.
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Severe phimosis where the opening is extremely tight or absent. BXO or lichen sclerosus โ preputioplasty does not address the underlying scarring disease and it will recur. Recurrent balanitis โ the foreskin remains as a risk factor. Patient preference for a permanent solution.
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Preputioplasty: Rs 12,000 to Rs 30,000 depending on city and hospital. Laser circumcision: Rs 15,000 to Rs 45,000. ZSR circumcision: Rs 12,000 to Rs 42,000.
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Preputioplasty has a recurrence rate of approximately 15 to 20% especially in cases where the underlying cause (BXO, recurrent balanitis) is not addressed. If phimosis recurs after preputioplasty circumcision is usually recommended.
A consultation with an experienced urologist is essential. They will examine your foreskin, assess the grade of phimosis, check for BXO, and recommend the most appropriate procedure. Call MySurgery at 8588807050 for a confidential consultation.
\n\nSpeaking to an expert is completely free and confidential. Call MySurgery at 8588807050 or WhatsApp us to connect with an experienced doctor in your city within 30 minutes.\n\nBook Free Consultation: mysurgery.in/contact | WhatsApp: wa.me/918588807050
Dr. Rajiv Tandon
MCh (Urology), 16 years experience, Apollo Hospitals Delhi
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