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Limited Dorsal Slit Preputialplasty for Management of Phimosis in Children. OBJECTIVE: To evaluate the functional and cosmetic result of limited dorsal slit preputialplasty for surgical management of phimosis in children. METHODS: This is a prospective cohort study (Jan 2010 to Dec 2019) of 246 children (age >5 y) who were unable to retract the foreskin and were symptomatic. RESULTS: No intraoperative complications were encountered. Preputial edema was the most common (n=45, 18.2%) immediate postoperative occurrence. At one year follow-up, a total cosmetic score of 6 (considered optimal) was seen in 203 (91%) patients. A score of 5 was observed in 13 (5.9%) and the remaining 7 (3.1%) had a score of less than 4. All pubertal children, except one, could retract prepuce freely without discomfort. CONCLUSIONS: This preputialplasty provides satisfactory cosmetic and functional result in phimosis, and is an acceptable alternative to circumcision.