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A modified fixation technique for the treatment of buried penis in children
Xu Cui1, Bing-Jing Gao2, Liu Chen1
1Department of Pediatric Surgery, Fujian Maternity and Child Health Hospital, College of Clinical Medicine for Obstetrics & Gynecology and Pediatrics, Fujian Medical University, Fuzhou 350001, China.
Insights
A modified penile fixation technique for buried penis in children resulted in longer penile length and reduced retraction compared to the traditional method. Parents reported higher satisfaction with the modified surgical approach for buried penis treatment.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Genitourinary Reconstruction
Background:
- Buried penis is a common congenital condition in children requiring surgical correction.
- Existing surgical methods for buried penis have varying success rates and complication profiles.
- Optimizing surgical techniques is crucial for improving outcomes and patient satisfaction.
Purpose of the Study:
- To evaluate the clinical efficacy of a modified penile fixation technique for treating buried penis in pediatric patients.
- To compare the outcomes of the modified technique with the traditional penile fixation method.
- To assess improvements in penile length, postoperative complications, and parental satisfaction.
Main Methods:
- Retrospective analysis of clinical data from 94 children treated with a modified penile fixation technique (March 2017-February 2019).
- Comparison with data from 107 children treated with a traditional penile fixation technique (February 2014-February 2017).
- Assessment of penile length, incidence of skin contracture and penile retraction, and parental satisfaction scores at 2-week, 6-month, and 12-month follow-ups.
Main Results:
- The modified penile fixation group showed significantly longer penile lengths at 6 and 12 months post-surgery compared to the traditional group (P < 0.05).
- Lower incidence of postoperative skin contracture and penile retraction was observed in the modified group (P = 0.034 and P = 0.012, respectively).
- Parents reported higher satisfaction scores for penile size, morphology, and voiding status in the modified group across all follow-up periods (all P < 0.05).
Conclusions:
- The modified penile fixation technique offers significant advantages in treating pediatric buried penis.
- This technique effectively enhances penile length and reduces the likelihood of complications like skin contracture and retraction.
- Improved functional and aesthetic outcomes lead to greater parental satisfaction following surgical correction.
Abstract:
For many years, surgical treatment of buried penis in children has been researched by several scholars, and numerous methods exist. This study aimed to explore the clinical effect of a modified fixation technique in treating buried penis in children. Clinical data of 94 patients with buried penis who were treated using the modified penile fixation technique from March 2017 to February 2019 in Fujian Maternity and Child Health Hospital (Fuzhou, China) were retrospectively collected, compared, and analyzed. Clinical data of 107 patients with buried penis who were treated using traditional penile fixation technique from February 2014 to February 2017 were chosen for comparison. The results showed that at 6 months and 12 months after surgery, the penile lengths in the modified penile fixation group were longer than those in the traditional penile fixation group (both P < 0.05). The incidence of postoperative skin contracture and penile retraction in the modified penile fixation group was less than that in the traditional penile fixation group (P = 0.034 and P = 0.012, respectively). When the two groups were compared in terms of parents' satisfaction scores, the scores for penile size, penile morphology, and voiding status in the modified penile fixation group were higher than those in the traditional penile fixation group at 2-week, 6-month, and 12-month follow-ups after surgery (all P < 0.05). We concluded that the modified penile fixation technique could effectively reduce the incidence of skin contracture and penile retraction and improve the penile length and satisfaction of patients' parents.
