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New Technique for the Treatment of Buried Penis in Children
Feng Liu1, Tao Lin1, Dawei He1
1Department of Urinary Surgery, Children's Hospital, Ministry of Education Key Laboratory of Child Development and Disorder, Key Laboratory of Pediatrics in Chongqing (CSTC2009CA5002), Chongqing Medical University, Chongqing, China.
Insights
This study introduces a new ventral penile root approach for buried penis repair. The technique proved simple, effective, and yielded satisfactory cosmetic results with minimal complications in 153 patients.
Area of Science:
- Urology
- Pediatric Surgery
Background:
- Buried penis repair lacks a universally accepted technique.
- A novel ventral penile root approach offers a potential solution.
Purpose of the Study:
- To evaluate the efficacy and outcomes of a new ventral penile root surgical technique for buried penis repair.
- To assess the safety and cosmetic satisfaction associated with this innovative approach.
Main Methods:
- Retrospective review of 153 patients (median age 6.5 years) undergoing buried penis repair.
- Detailed description of the ventral penile root approach involving skin incisions and fixation to Buck fascia.
- Average follow-up of 12 months post-surgery.
Main Results:
- Successful repair in 151 out of 153 patients (98.7%).
- Only 2 cases (1.3%) experienced trapped penis requiring scar excision.
- High patient satisfaction with cosmetic appearance reported.
Conclusions:
- The ventral penile approach is a simple and effective surgical option for buried penis.
- This technique demonstrates a low complication rate and favorable cosmetic outcomes.
- The ventral penile root approach provides a reliable method for buried penis reconstruction.
Objective:
To present our treatment experience of buried penis, which has no consensus therapeutic technique for all cases of buried penis, by using a new technique for the repair of this condition, in which the approach is through the ventral penile root.
Materials And Methods:
We performed a retrospective review of 153 patients (median age: 6.5 years) who underwent repair of a buried penis between March 2005 and March 2013. The technique involves the creation of a wedge-shaped cut of the ventral penile skin, followed by fixation of the subcutaneous penile skin at the base of the degloved penis to the Buck fascia at the 2- and 10-o'clock positions. The ventral outer preputial skin is split down the midline, and the dorsal inner preputial skin is cut with oblique incision.
Results:
All patients were followed for an average of 12 months after repair. Other than 2 cases (1.3%) of trapped penis with a ring of scar tissue, which required subsequent excision, there were no complications and the cosmetic appearance was satisfactory.
Conclusion:
The described ventral penile approach is a simple and effective procedure with good cosmetic outcomes and few complications.