[A new procedure of penoplasty for concealed penis reduces postoperative preputial edema]
Wei-Qi Yin1, Guo-Yao Wang1, Ke-Rong Wu1
1Center of Urology and Nephrology, Ningbo First Hospital / Ningbo Hospital of Zhejiang University, Ningbo, Zhejiang 315000, China .
Objective:
To investigate the advantage of a new procedure of penoplasty by T-shaped incision and three-point fixation (TSI+TPF) in reducing postoperative preputial edema in the treatment of concealed penis.
Methods:
We retrospectively analyzed 244 cases of concealed penis treated in our center between June 2014 and June 2017, 185 by TSI+TPF penoplasty and the other 59 by modified Devine surgery (MDS). We compared the incidence of postoperative preputial edema between the two groups of patients.
Results:
The incidence rate of preputial edema was obviously lower in the TSI+TPF penoplasty than in the MDS group at 2 (28.1% vs 33.9%) and 4 weeks after surgery (11.4% vs 20.3%), though with no statistically significant difference, and that of moderate to severe edema was significantly lower in the former than in the latter at 4 weeks (1.1% vs 6.8%, P < 0.05). And no long-term residual edema was observed after TSI+TPF penoplasty.
Conclusions:
Penoplasty by T-shaped incision and three-point fixation can effectively reduce the incidence of postoperative preputial edema, especially that of moderate to severe edema, in the treatment of concealed penis.
