Congenital Megaprepuce: surgical approach.

Area of Science:

• Pediatric Surgery
• Urology
• Genitourinary Surgery

Background:

• Congenital Megaprepuce (CMP) is characterized by phimosis, a large foreskin, and entrapment of the glans and corpora within pre-pubic fat.
• This condition often leads to incomplete micturition with a characteristic "ballooning" of the prepuce.

Purpose of the Study:

• To detail the surgical procedure and outcomes for Congenital Megaprepuce (CMP).
• To evaluate the efficacy and safety of Genitoplasty with Penoscrotal Separation (GPS) for treating CMP.

Main Methods:

• Genitoplasty with penoscrotal separation (GPS) was performed on 5 uncircumcised children with CMP.
• The technique involved ventral penoscrotal junction incision, shaft bipartition, inner prepuce resection, outer layer preservation, and dorsal foreskin lengthening.
• Suturing, urinary catheterization, and post-operative care including antibiotics and analgesia were standard.

Main Results:

• All patients experienced pre-operative urinary difficulties.
• Complete penile skin coverage was achieved in all cases.
• Excellent cosmetic and functional results were observed with no complications at a mean 12-month follow-up.

Conclusions:

• Congenital Megaprepuce (CMP) is a distinct condition requiring surgical intervention to resolve micturition problems.
• Genitoplasty with penoscrotal separation (GPS) is a straightforward, reproducible surgical technique for CMP.
• GPS yields excellent short-term cosmetic and functional results, with potential applicability to other penile shaft malformations.