Patients with extensive scarring have low success rates with preputioplasty. Men with fibrotic and scarred foreskin are advised to have a circumcision, and the success rate of circumcision for treatment of adult male phimosis approaches 100%.
Fungal balanitis is caused by the moist environment within the foreskin. Preputioplasty does not treat the underlying problem and will not prevent the recurrence of balanitis. Balanitis is especially prevalent in diabetic men. Men with fungal balanitis are advised to consider circumcision.