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The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce
Background: Congenital Megaprepuce is a urological condition characterized by a megapreputial reservoir with a long redundant inner prepuce. The condition has been linked to urinary tract infections, lower urinary tract symptoms, and ballooning of the penis during voiding. An impeded urinary stream...
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| Format: | Thesis |
| Language: | English |
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Division of General Surgery
2022
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| _version_ | 1867613194465312768 |
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| access_status_str | Open Access |
| author | Tasker, David Beaumont |
| author2 | Howlett, Justin |
| author_browse | Howlett, Justin Tasker, David Beaumont |
| author_facet | Howlett, Justin Tasker, David Beaumont |
| author_sort | Tasker, David Beaumont |
| collection | Thesis |
| description | Background: Congenital Megaprepuce is a urological condition characterized by a megapreputial reservoir with a long redundant inner prepuce. The condition has been linked to urinary tract infections, lower urinary tract symptoms, and ballooning of the penis during voiding. An impeded urinary stream and resultant ballooning is associated with discomfort and causes parental anxiety due to the unusual appearance of phallus. Surgical correction should improve functionality, but cosmesis is also important. This study took place in a community in which traditional circumcision remains an essential rite of passage. Therefore, early surgical correction of congenital megaprepuce was complicated by the unique requirement that patients remain uncircumcised. Methodology: Here we investigated the functional and cosmetic outcomes of the ventral slit procedure, an uncomplicated technique used to restore urinary flow which, importantly, preserves the foreskin. Parents of 18 paediatric patients were interviewed post-operatively regarding phallic appearance and functionality following surgery. Results: Overall, the ventral slit procedure successfully restored flow, prevented ballooning and alleviated discomfort during voiding in all patients. Parents interviewed were highly satisfied with surgical outcomes, as assessed by the Pediatric Penile Perception score. Conclusion: The ventral slit procedure was found to be a culturally acceptable and simple surgical solution to congenital megaprepuce. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/36567 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:32:13.078Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Division of General Surgery |
| publisherStr | Division of General Surgery |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/36567 The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce Tasker, David Beaumont Howlett, Justin Rode, Heinz general surgery Background: Congenital Megaprepuce is a urological condition characterized by a megapreputial reservoir with a long redundant inner prepuce. The condition has been linked to urinary tract infections, lower urinary tract symptoms, and ballooning of the penis during voiding. An impeded urinary stream and resultant ballooning is associated with discomfort and causes parental anxiety due to the unusual appearance of phallus. Surgical correction should improve functionality, but cosmesis is also important. This study took place in a community in which traditional circumcision remains an essential rite of passage. Therefore, early surgical correction of congenital megaprepuce was complicated by the unique requirement that patients remain uncircumcised. Methodology: Here we investigated the functional and cosmetic outcomes of the ventral slit procedure, an uncomplicated technique used to restore urinary flow which, importantly, preserves the foreskin. Parents of 18 paediatric patients were interviewed post-operatively regarding phallic appearance and functionality following surgery. Results: Overall, the ventral slit procedure successfully restored flow, prevented ballooning and alleviated discomfort during voiding in all patients. Parents interviewed were highly satisfied with surgical outcomes, as assessed by the Pediatric Penile Perception score. Conclusion: The ventral slit procedure was found to be a culturally acceptable and simple surgical solution to congenital megaprepuce. 2022-06-29T10:41:02Z 2022-06-29T10:41:02Z 2022 2022-06-29T10:40:21Z Master Thesis Masters MMed http://hdl.handle.net/11427/36567 eng application/pdf Division of General Surgery Faculty of Health Sciences |
| spellingShingle | general surgery Tasker, David Beaumont The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce |
| thesis_degree_str | Master's |
| title | The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce |
| title_full | The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce |
| title_fullStr | The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce |
| title_full_unstemmed | The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce |
| title_short | The functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce |
| title_sort | functional and cosmetic outcome of the ventral slit procedure for congenital megaprepuce |
| topic | general surgery |
| url | http://hdl.handle.net/11427/36567 |
| work_keys_str_mv | AT taskerdavidbeaumont thefunctionalandcosmeticoutcomeoftheventralslitprocedureforcongenitalmegaprepuce AT taskerdavidbeaumont functionalandcosmeticoutcomeoftheventralslitprocedureforcongenitalmegaprepuce |