Preputioplasty Gdańs
foreskin-preserving surgery — the foreskin stays
Preputioplasty is a surgical procedure that widens a narrowed foreskin without removing it. It is an alternative to circumcision for patients whose narrowing can be corrected while preserving the foreskin.
Whether preputioplasty is possible in your case is decided by the urologist after examination — not every narrowing qualifies for the foreskin-preserving method.
Qualification takes place during a urological consultation. Appointments are usually available within a few days.
| What it involves | widening the foreskin without removing it |
| Foreskin | preserved |
| Anaesthesia | local |
| Procedure time | usually 30–45 minutes |
| Sutures | usually absorbable |
| Recovery | about 2 weeks |
| Doctors | 4 urologists |
| Price | 3000 PLN |
removes the narrowing, keeps the foreskin
Kłącz · Krukowski · Gondek · Abbazov
the doctor will say when preputioplasty is not enough
Mon–Fri 9:00–20:00
Preputioplasty is one of the methods of treating phimosis in adults — a narrowing of the foreskin that makes it difficult to retract over the glans. Unlike circumcision, the procedure does not remove the foreskin; it widens the constricting ring.
If you are wondering whether your phimosis requires surgery at all, start with the article Phimosis — when to operate? This page already describes a specific procedure and is intended for those considering the foreskin-preserving method.
What does preputioplasty involve?
The procedure involves incising the constricting ring of the foreskin and closing the wound in such a way that the foreskin becomes wider and can be retracted freely. The surgeon incises the foreskin along the axis of the narrowing and then closes the incision transversely — which widens the circumference at the point that previously formed the obstruction.
Depending on the anatomy and extent of the narrowing, the doctor may use a single incision or several incisions distributed around the circumference. For narrowings with scarring, a Z-plasty technique is sometimes used to distribute tissue tension. The choice of technique is made intraoperatively, after assessing the tissues.
The procedure is performed on an outpatient basis, under local anaesthesia. It usually takes 30–45 minutes. The patient goes home the same day. Sutures are most often absorbable and do not require removal.
Who is preputioplasty for?
The procedure is considered for adult men who:
- have a narrowing of the foreskin that makes retraction difficult, but without extensive scarring,
- wish to preserve the foreskin for personal, aesthetic or cultural reasons,
- have not improved with conservative treatment (steroid ointments, stretching exercises),
- experience discomfort during erection or intercourse resulting from the narrowing.
Qualification is carried out by a urologist during a urological consultation — assessing the degree and nature of the narrowing and the condition of the tissues.
When is preputioplasty not enough?
Not every narrowing can be corrected with a foreskin-preserving method. Honest qualification matters more here than the mere technical possibility of performing the procedure — preputioplasty carried out against the indications may not produce a lasting result.
Situations in which the doctor may recommend circumcision instead of preputioplasty:
- extensive scarring of the foreskin after recurrent inflammation,
- a very narrow, rigid constricting ring of firm consistency,
- suspected lichen sclerosus (BXO) — a condition in which foreskin tissue undergoes progressive fibrosis,
- recurrence of narrowing after a previous preputioplasty,
- coexisting indications favouring removal of the foreskin.
In such cases the doctor will discuss circumcision as a solution giving a more durable result. The decision is made together with the patient, after explaining the differences between the methods.
Preputioplasty vs circumcision — what is the difference?
| Preputioplasty | Circumcision | |
|---|---|---|
| Foreskin | preserved | removed partially or completely |
| Reversibility | tissue remains — later circumcision still possible | irreversible |
| Risk of recurrent narrowing | present | practically absent |
| With extensive scarring | usually not indicated | method of choice |
| Procedure page | this page | circumcision → |
Both methods are recognised ways of treating phimosis. The choice depends on the condition of the tissues, the patient's expectations and medical assessment — not on the price of the procedure.
Contraindications
- active infection or inflammation of the foreskin and glans,
- extensive scarring preventing durable widening,
- blood clotting disorders,
- uncontrolled diabetes or other conditions impairing healing,
- suspected lichen sclerosus — requires separate management.
The full list of contraindications is discussed individually by the doctor during qualification.
Recovery after preputioplasty
Healing usually takes about two weeks. In the first days after the procedure, swelling and tenderness of the operated area are typical — they subside gradually.
- return to office work: usually after 1–3 days,
- abstaining from intercourse and intense exertion: for the period indicated by the doctor, usually about 2–4 weeks,
- hygiene of the area as instructed — without excessive retraction of the foreskin,
- follow-up appointment at a time set by the doctor.
Fever, increasing pain not responding to painkillers, swelling that grows after 48 hours, discharge from the wound or suture dehiscence — these are symptoms requiring contact with the clinic. Mild discomfort in the first days is typical.
What does the patient pathway look like?
The urologist assesses the degree of narrowing and the condition of the tissues, and answers whether preputioplasty is possible in your case or whether circumcision would be the better solution. Risks and realistic outcomes are discussed.
Local anaesthesia, incision and widening of the constricting ring, closure of the wound. About 30–45 minutes. The patient goes home the same day.
About two weeks. Instructions on hygiene, exertion and intercourse are given to the patient in writing after the procedure.
A follow-up visit allows healing and the achieved foreskin mobility to be assessed. The timing is set by the doctor individually.
Urologists performing preputioplasty
Availability for all doctors is shown in the clinic calendar on ZnanyLekarz.
Urologist experienced in reconstructive surgery of the penis and foreskin. Conducts qualification and performs foreskin-preserving procedures.
Urologist and andrologist. Performs procedures on the penis and foreskin, including preputioplasty and frenuloplasty.
Urologist specialising in the diagnosis and treatment of genitourinary conditions, including procedures on the foreskin.
Urologist and andrologist on the clinic team. Conducts consultations, qualification for procedures and interventions on the penis and foreskin.
Want to keep your foreskin? Find out whether preputioplasty is possible
Kłącz, MD, PhD · Krukowski, MD, PhD · Gondek, MD · Abazzov, MD
The urologist will assess the narrowing and tell you plainly whether the foreskin-preserving method will give a lasting result.
Frequently asked questions — preputioplasty
Is preputioplasty the same as circumcision?
No. Preputioplasty widens the foreskin while keeping it intact. Circumcision involves partial or complete removal of the foreskin. These are two different procedures with different indications — the comparison is in the table above.
Can the narrowing return after preputioplasty?
Yes — unlike circumcision, there is a risk of recurrent narrowing because the foreskin tissue remains. The risk is lower with correct qualification and adherence to aftercare instructions. If the narrowing recurs, the doctor will discuss further options — including circumcision.
Which urologist performs preputioplasty?
The procedure is performed by the clinic's urologists: Jakub Kłącz, MD, PhD, Jakub Krukowski, MD, PhD, Jakub Gondek, MD and Arthur Abbazov, MD. Availability is shown in the clinic calendar → If you have no preference, our reception will help you choose a doctor and an appointment time.
Does the procedure hurt?
The procedure is performed under local anaesthesia, which limits sensation during it. Once the anaesthetic wears off, discomfort and swelling may appear — usually relieved by over-the-counter painkillers. Individual sensations may vary.
Does preputioplasty affect sensation?
The procedure preserves the foreskin, so it does not remove the tissues responsible for sensation. Sensation at the site of the surgical scar may change temporarily — it usually returns to normal during healing. Any concerns are worth discussing with the doctor beforehand.
When can I return to sexual activity?
Usually after about 2–4 weeks, once the wound has healed — the exact timing is determined by the doctor at the follow-up. Resuming too early increases the risk of suture dehiscence and prolongs healing.
Can preputioplasty be combined with frenuloplasty?
In some cases a short frenulum coexists with a narrowed foreskin — both problems can then be addressed during a single procedure. The extent of the intervention is assessed by the doctor during qualification. More on frenuloplasty.
How much does preputioplasty cost in Gdańsk?
The procedure costs 3000 PLN. The qualifying consultation is billed separately — current rates are in the urology price list. The final scope of the procedure and its price are confirmed by the doctor after qualification.
Phimosis — other pages
Main page of the topic: symptoms, all three treatment paths, price list.
Details →Article: when observation is enough and when surgery is needed.
Read →The radical method — removal of the foreskin. Indications and procedure.
Details →A short frenulum often coexists with a narrowed foreskin.
Details →Qualification for the procedure and discussion of methods.
Details →Preputioplasty — Gdańsk, Poland
Kłącz, MD, PhD · Krukowski, MD, PhD · Gondek, MD · Abazzov, MD
Gdańsk, ul. Toruńska 15 · Mon–Fri 9:00–20:00 · tel. +48 600 006 913
The information on this page is for general educational purposes only and does not replace a medical consultation. Qualification for preputioplasty — including the assessment of whether the foreskin-preserving method will give a lasting result — is carried out individually by the urologist after examination. The outcome of the procedure is individual. Wyspa Medycyny Przyjaznej, ul. Toruńska 15 lok. AU1, Gdańsk, Poland. Tel.: +48 600 006 913.