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A simple modified method to correct buried penis in boys.
Taiwai Chin1, Chinsu Liu, Choufu Wei
1Division of Pediatric Surgery, Children's Medical Center, Taipei Veterans General Hospital, Taiwan, ROC. twchin@vghtpe.gov.tw
Summary
This study presents a modified prepuce unfurling technique for buried penis in boys, achieving satisfactory cosmetic results. The procedure addresses penile skin deficiency by suturing the inner prepuce to Buck's fascia.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Buried penis stems from penile skin deficiency and poor skin-to-Buck's fascia attachment.
- This condition affects boys aged 14 months to 12 years.
Purpose of the Study:
- To describe a modified prepuce unfurling surgical technique for treating buried penis.
- To report the outcomes of this surgical approach.
Main Methods:
- A modified prepuce unfurling technique was performed on 32 boys with buried penis.
- The procedure involves a circumferential incision, dissection of subcutaneous tissue, and suturing of the inner prepuce to Buck's fascia.
Main Results:
- Most patients achieved satisfactory cosmetic results.
- Prolonged preputial edema occurred in two patients.
- No instances of skin necrosis were reported.
Conclusions:
- The modified prepuce unfurling technique effectively covers the penile shaft.
- Emphasizing procedural details can lead to ideal cosmetic outcomes in selected pediatric patients.