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The modified Devine's procedure for the management of concealed penis in children: an experience of 131 cases
1Department of Pediatric Surgery, Zaozhuang Municipal Hospital, Zaozhuang, Shandong Province, China. yfhu1970@163.com.
Insights
The modified Devine's procedure effectively treats concealed penis in children, significantly increasing penile length and improving parental satisfaction with cosmetic outcomes and hygiene.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Genitourinary Reconstruction
Background:
- Concealed penis is a congenital condition requiring surgical correction.
- The modified Devine's procedure offers a potential solution for this condition.
Purpose of the Study:
- To describe the surgical management experience of concealed penis using the modified Devine's procedure.
- To evaluate the efficacy and safety of this technique in pediatric patients.
Main Methods:
- Retrospective review of 131 pediatric patients undergoing modified Devine's procedure between January 2019 and June 2021.
- Pre- and post-operative penile length measurements were recorded.
- Parental satisfaction was assessed using a 5-point Likert scale for size, morphology, voiding, and hygiene.
Main Results:
- A statistically significant increase in mean penile length from 1.8 cm to 5.02 cm (p < 0.01).
- Significant improvements in parental satisfaction across all assessed domains at 6, 12, and 24 weeks post-surgery.
- Mean follow-up of 15 months with a low complication rate.
Conclusions:
- The modified Devine's technique is a simple, effective surgical option for pediatric concealed penis.
- The procedure yields predictable results, excellent parental satisfaction, and good cosmetic outcomes.
- Low complication rates support the clinical utility of this surgical approach.
Objective:
With the current study, we aimed at describing our experience of surgical management of concealed penis using the modified Devine's procedure.
Patients And Methods:
Medical records of all patients undergoing surgical management of concealed penis using the modified Devine's procedure from January 2019 to June 2021 were retrieved. Penile length was measured before and after the procedure. Parental satisfaction on the penile size, morphology, voiding status and hygiene was measured using a 5-point Likert's scale.
Results:
A total of 131 patients were included. The mean age of the patients was 8.56 ± 2.75 years. The mean BMI of the patients was 24.17 ± 1.78 kg/m2. The patients were followed up to a mean of 15 ± 3 months. The duration of the surgery was 89.93 ± 16.85 minutes. There was a statistically significant increase in penile length from 1.8 ± 0.64 cm to 5.02 ± 1.11 cm after the procedure (p < 0.01). There was a statistically significant improvement in satisfaction status of all domains at 6, 12 and 24 weeks as compared to pre-operative levels.
Conclusions:
The modified Devine's technique is a simple and effective surgical technique for management of concealed penis in children producing predictable results and excellent parental satisfaction. The low rate of complications and good cosmetic outcomes lend support to its use in clinical practice.
