A Modified Scrotoplasty for Treating Severe Penoscrotal Webbing in Children

Area of Science:

• Pediatric Urology
• Surgical Techniques
• Congenital Anomalies

Background:

• Severe penoscrotal webbing (PSW) is a congenital condition requiring surgical correction.
• Conventional V-Y scrotoplasty is a standard surgical approach for PSW.
• Novel surgical techniques aim to improve functional and aesthetic outcomes in pediatric urology.

Purpose of the Study:

• To compare the efficacy and safety of a novel modified W-incision scrotoplasty (MWS) with conventional V-Y scrotoplasty.
• To evaluate anatomical improvements and parent satisfaction following surgical correction of severe PSW.
• To assess postoperative complications associated with MWS and V-Y scrotoplasty.

Main Methods:

• A retrospective study comparing 26 children treated with MWS (combined with circumcision) and 32 children treated with V-Y scrotoplasty.
• Surgical repair of severe penoscrotal webbing and associated phimosis.
• Assessment of penile and scrotal angle improvements and parent satisfaction scores (Likert Scale).

Main Results:

• MWS demonstrated statistically significant improvements in penile and scrotal angle correction compared to V-Y scrotoplasty (-66 ± 10 vs. -57 ± 6, P < 0.001).
• Parent satisfaction scores were significantly higher in the MWS group (4.7 ± 0.56 vs. 3.8 ± 0.47, P < 0.001).
• No serious postoperative complications were observed in the MWS group, with no significant difference in surgical complications compared to V-Y scrotoplasty.

Conclusions:

• Modified W-incision scrotoplasty is an effective and safe surgical option for severe penoscrotal webbing in children.
• MWS offers superior anatomical correction and higher parent satisfaction compared to V-Y scrotoplasty.
• The MWS technique presents a promising alternative for managing pediatric penoscrotal webbing.