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[Devine's technique with free skin grafting for concealed penis with prepuce deficit]
Xiao-Wen Xu1, Yao-Ting Xu, Zhi-Jie Shen
1Department of Urology, Branch of Shanghai First People's Hospital, Shanghai 200081, China.
Zhonghua Nan Ke Xue = National Journal of Andrology
|August 10, 2011
Summary
Devine's technique using free skin grafts effectively treats concealed penis in children, improving penile length and appearance. This surgical approach offers a desirable outcome for patients with prepuce deficit.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Reconstructive Surgery
Background:
- Concealed penis is a congenital condition often requiring surgical intervention.
- Prepuce deficit can lead to functional and aesthetic concerns.
- Previous circumcision may complicate treatment for concealed penis.
Purpose of the Study:
- To evaluate the clinical efficacy of Devine's technique combined with free skin grafting.
- To assess the outcomes in pediatric patients with concealed penis and prepuce deficit.
Main Methods:
- Devine's operation was performed on 7 pediatric patients (ages 6-15) with concealed penis.
- Resection of inelastic sarcolemma and penile lengthening were conducted.
- Free split-thickness skin grafts from the inner thigh were used to cover the tunica albuginea.
Main Results:
- Surgical duration averaged 90.5 minutes (range 70-120 minutes).
- Penile length increased by 2-4 cm post-surgery.
- A 6-month follow-up showed satisfactory penile appearance and normal erectile function.
Conclusions:
- Devine's technique with free skin grafting is a suitable treatment for concealed penis with prepuce deficit.
- The procedure yields positive aesthetic and functional results.
- This method is recommended for pediatric patients with this condition.
