Why is there a need to remove the prepuce? Why not just a dorsal slit? Clyde
A dorsal slit is performed under unusual circumstances, such as a patient who needs justifiable relief from phimosis or intractable balano-posthiits, and usually is too ill or not safe to proceed with full adult circumcision. Example: a patient with diabetes out of control, or a patient with a serious acute process such as a stroke or coronary.
When a dorsal slit is done, the foreskin hangs down like a “beard” and doesn’t look pretty. For a seriously ill patient, this is the least of his problems.
For those patients who don’t want their foreskin removed there’s a procedure called a preputioplasty. This involved making a vertical incision like a dorsal slit over the phimotic area, which is closed gtans transversely.
Harold M. Reed, M.D.
The Reed Centre for Cosmetic Circumcision – Miami