Reconstruction of the Balano-Preputial Sulcus After Circumcision

Circumcision is one of the most common surgical procedures worldwide, performed for medical, hygienic, or cultural reasons. However, in some cases, the procedure can lead to unintended outcomes, such as aesthetic or functional alterations of the balano-preputial region. The reconstruction of the balano-preputial sulcus is an advanced solution to restore the anatomy and function of this delicate area.

The balano-preputial sulcus is the natural groove that separates the glans from the foreskin. Its presence is crucial not only for aesthetic reasons but also to ensure the proper movement of the remaining skin and maintain glans sensitivity. When circumcision alters this structure, complications such as scar retraction, loss of sensitivity, and aesthetic discomfort may arise.

Reconstructive andrological surgery aims to restore the natural morphology of the balano-preputial sulcus. Professor Gabriele Antonini employs advanced techniques to achieve optimal results, reshaping local tissues and, if necessary, using mucosal or skin grafts to reconstruct the area. This procedure improves both the appearance and function of the genital region, alleviating potential discomfort or pain.

The surgery is performed under local or general anesthesia, depending on the patient’s condition. Postoperative recovery typically lasts a few weeks to a couple of months, during which strict adherence to postoperative care instructions is essential for optimal healing. Most patients report significant aesthetic and functional improvement, with restored sensitivity and increased psychological satisfaction.

Reconstructive andrological surgery is a continuously evolving field, offering personalized solutions to enhance patients’ quality of life. Professor Antonini is a leading expert in the field, with extensive experience in balano-preputial sulcus reconstruction and other advanced andrological procedures.

The surgical procedures shown in this video were performed by Prof. Gabriele Antonini. Some of these images, intended for a medical audience and educational purposes, may be intense for those unaccustomed to surgical scenes.

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