Dorsal Foreskin Incision

The dorsal foreskin incision is sometimes made to solve different problems. Today we will see some of them and discover what the surgical procedure is like.

The foreskin is the mobile fold of the skin of the penis that covers the glans. Therefore, their role is to keep you protected. However, on occasions, certain problems that require the dorsal incision may appear. Have you ever heard of this procedure? Don’t worry, we will also tell you everything you need to know below.

The dorsal incision is an option in some special cases. The way to carry it out is by making a simple incision on the dorsal aspect of the foreskin. It is a procedure, as far as possible, simple.

Dorsal foreskin incision in balanitis

Balanitis is a condition that affects the glans and foreskin. It arises when an infection by different species of yeast of the genus Candida occurs . According to the study Balanitis and candidal balanoposthitis , it is mainly Candida albicans .

Continuing with what this study explains to us about this infection, as it evolves, fissures are created that are itchy and burning. Occasionally, white erythematous plaques with micropustules may appear.

According to the Urological Emergencies report,  balanitis can progress to gangrenous the foreskin. Erythema, ulceration, swelling, and necrosis may appear. All this accompanied by fever, chills and prostration.

In this case, the dorsal foreskin incision may be helpful when refractory balanitis is present. In this way, healing and healing can be facilitated.

Phimosis problems

The dorsal incision can also be made when there is phimosis. Phimosis is a narrowing that occurs at the opening of the foreskin and prevents or prevents the glans from being fully revealed.

The concern of this condition is given because it avoids proper hygiene, even in extreme cases it can make it difficult to evacuate urine. In cases where the foreskin completely compresses the glans, this is known as paraphimosis.

Performing a dorsal incision of the foreskin in this case allows to reduce the inflammation to be able to perform the circumcision that will finally end with this problem. The cut that is carried out is small and is made at a specific point.

This cut does not remove any tissue nor does it provide a solution. The incision that is made is very simple and serves to release the tightness that is being produced by the phimosis and that causes inflammation. This way, the appropriate treatment can be carried out when it goes down.

Dorsal incision procedure

We briefly mentioned how the dorsal foreskin incision was made. However, now we are going to dwell more on both the surgical technique and the care after a patient undergoes a foreskin plasty.

Surgical technique

As we will see below, the surgical technique is very simple. The most important thing is to follow your doctor’s instructions after undergoing this procedure:

• Two forceps (mosquito) are placed on either side of the mid-dorsal line of the foreskin.
• The foreskin is divided between the two forceps with a scalpel until the glans is exposed.
• The cut edges are sutured and povidone iodine (betadine) is applied covering with a compress.

Care after the dorsal incision

After having carried out these steps, certain care must be taken into account that the patient must carry out to ensure proper healing :

• Povidone iodine cures are performed for a week.
• The doctor will follow up to see how the dorsal incision is progressing.
• When the doctor considers it, he will schedule an appointment to perform the circumcision.

Other cases

There are other cases in which this dorsal foreskin incision may be required. For example, if a biopsy is to be performed, insert a catheter or catheter through the urethra.

Sometimes it is essential to make this type of incision in order to remove a preputial stone. This usually causes urinary obstruction and intense pain.

As we have seen, this type of incision does not carry much risk and is a relief for the cases we have mentioned. However, to avoid major problems, in the event of any discomfort we must go to the doctor.

Let’s imagine we have a balanitis or a preputial stone. But, out of laziness we let it pass. When we go to the doctor we will not only be suffering terrible discomfort and pain, but the situation may have been complicated.

The dorsal foreskin incision is a very simple method to carry out. If, for any reason, you have to undergo it, take postoperative care into account. They are essential for optimal healing.