Preputial flaps to correct buried penis

Area of Science:

• Urology
• Pediatric Surgery

Background:

• Buried penis is a condition requiring surgical correction.
• Existing techniques may have limitations in application or outcomes.

Purpose of the Study:

• To present a simple and practical preputial skin flap technique for buried penis correction.
• To evaluate the efficacy and outcomes of this technique in pediatric patients.

Main Methods:

• A longitudinal incision on the ventral penis releases foreskin tightness, creating a diamond-shaped defect.
• Pedicled preputial flaps are created and rotated to cover the defect, ensuring adequate penile skin coverage.
• The technique was applied to 12 boys aged 3-12 years, with a minimum follow-up of 3 months.

Main Results:

• The preputial flap technique successfully corrected buried penis in all 12 pediatric patients.
• Common side effects included temporary edema and swelling of the flaps.
• No patients required revision surgery or experienced significant complications.

Conclusions:

• The preputial skin flap technique is a simple, practical, and effective method for correcting buried penis.
• This approach provides good cosmetic and functional results, applicable to most pediatric cases.
• The technique demonstrates a low complication rate and eliminates the need for secondary operations.