Part of the TeachMe Series

Consent: Dorsal Slit Procedure

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Last updated: June 18, 2021
Revisions: 7

Last updated: June 18, 2021
Revisions: 7

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This article is for educational purposes only. It should not be used as a template for consenting patients. The person obtaining consent should have clear knowledge of the procedure and the potential risks and complications. Always refer to your local or national guidelines, and the applicable and appropriate law in your jurisdiction governing patient consent.

Overview of Procedure

A dorsal slit procedure is an operation which involves making an incision at the top of the foreskin to relieve tightness preventing retraction.

It can be performed electively for patients who do not wish to undergo circumcision or in an emergency for relief of paraphimosis. This can be done under a general anaesthetic or a ring block.

Complications

Intraoperative

Complication Description of Complication Potential Ways to Reduce Risk
Haemorrhage Damage to local blood vessels when making the incision
Damage to surrounding structures Iatrogenic injury to the glans of the penis
Anaesthetic risks Includes damage to the teeth, throat and larynx, reaction to medications, nausea and vomiting, cardiovascular and respiratory complications Forms a part of the anaesthetist assessment before the operation

Early

Complication Description of Complication Potential Ways to Reduce Risk
Pain Pain at the incision site Regular analgesia post-operatively and the use of a penile block
Infection Surgical site infections can occur, leading to delayed wound healing Maintain an aseptic technique throughout the procedure
Bleeding Bleeding from the wound, reactive to any infection or wound breakdown
Poor cosmesis Often performed as an emergency procedure, cosmesis can be affected Often a circumcision is required at a later stage
Swelling of the penis Post-procedure inflammation, mainly in the glans, can last for a couple of days

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