Modified penoplasty for concealed penis in children.

Area of Science:

• Pediatric surgery
• Urology

Background:

• Concealed penis, also known as buried penis, is a congenital condition requiring surgical correction.
• Traditional penoplasty techniques may have limitations in achieving optimal functional and cosmetic outcomes.

Purpose of the Study:

• To describe and evaluate a modified penoplasty technique for the surgical repair of concealed penis in pediatric patients.
• To assess the safety, efficacy, and cosmetic satisfaction associated with this modified approach.

Main Methods:

• A retrospective review of 201 pediatric cases of concealed penis surgically repaired between January 2006 and June 2012 using a modified penoplasty technique.
• The technique involved degloving penile skin, excising the inner prepuce, advancing penoscrotal skin, and reconstructing the penoscrotal angle.

Main Results:

• The modified penoplasty was performed on 201 children with a mean age of 5.3 years and a mean operative time of 40 minutes.
• Postoperative edema was common but usually resolved within a month; prolonged edema occurred in 20 cases. Ten cases experienced retraction.
• No functional issues like erection difficulties were reported. Patients and parents reported improved hygiene, better penile visualization, and high satisfaction with cosmetic outcomes.

Conclusions:

• The modified penoplasty technique is a simple, safe, and effective surgical option for correcting concealed penis in children.
• This technique leads to satisfied cosmetic outcomes and functional improvements, enhancing penile hygiene and accessibility.