A simplified preputial covering technique to correct buried penis
Ta-Min Wang1, Hsiao-Wen Chen, Yang-Jen Chiang
1Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, No 5, Fu-Sing St. Gueishan Township, Taoyuan County 333, Taiwan. tmwang@cgmh.org.tw
Urologia Internationalis
|February 23, 2010
Summary
This study refines a surgical technique for preputial covering in children with buried penis, significantly improving outcomes and cosmetic results. The novel flap method effectively prevents complications like redundant prepuce, reducing the need for repeat surgeries.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Genitourinary Reconstruction
Background:
- Buried penis can lead to complications from redundant prepuce.
- Inadequate surgical techniques may exacerbate these issues.
- Refined preputial covering is crucial for optimal outcomes.
Purpose of the Study:
- To present a refined preputial covering technique for buried penis surgery.
- To evaluate the efficacy of a novel single-flap method for ventral skin defects.
- To assess postoperative complications and cosmetic results.
Main Methods:
- A cohort of 20 pediatric patients with buried penis underwent surgery.
- Technique involved penile shaft unfurling, base skin fixation to Buck's fascia, and a unique single pedicle flap for coverage.
- Postoperative monitoring occurred at 2 weeks, 1 month, and 3 months.
Main Results:
- All patients achieved good or excellent outcomes with reduced complications.
- A mean increase of 1.7 cm in penile projection length was observed.
- Good cosmetic results and improved penile shaft visualization were reported, with no cases of bulky prepuce.
Conclusions:
- The devised preputial covering technique effectively prevents bulky prepuce and residual redundant prepuce.
- The method eliminates the need for repeat surgeries.
- Excellent cosmetic results were confirmed by parental satisfaction.
