How to resolve zip injury of prepuce? Better way of manipulation

Nimesh Thakkar; Pranav Patel; Nirav Patel

doi:10.18203/2349-2902.isj20192956

Authors

Nimesh Thakkar Department of General Surgery, GMERS Medical College and Hospital, Gandhinagar, Gujarat, India
Pranav Patel Department of General Surgery, GMERS Medical College and Hospital, Gandhinagar, Gujarat, India
Nirav Patel Department of General Surgery, GMERS Medical College and Hospital, Gandhinagar, Gujarat, India

DOI:

https://doi.org/10.18203/2349-2902.isj20192956

Keywords:

Children, Circumcision, Painless, Prepuce injury, Simple solution, Zip injuries

Abstract

Background: Entrapment of prepuce in a zipper is a common cause of prepuceal injury in children. It is seen in boys of age group 5-12 years who usually do not wear underpants. About 80% of these injuries occur accidentally while zipping up.

Methods: We reported 20 cases with zipper injury during our study period, which were divided in two groups. In Group A, Patients were managed by conventional techniques while in Group B; we managed patients with our technique of manipulation. Final Outcomes were compared with need of circumcision.

Results: All patients in this study were male patients. All were from pediatric age group, except one case in Group A was Adult. In Group A, 7 patients (70%) required Circumcision while in Group B study, only 1 patient (10%) required circumcision. Moreover we found this technique more Simple and Easy.

Conclusions: We found this technique very easy, less time consuming, less trauma to prepuce and need of Circumcision is less with this manipulation.

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