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Concealed penis in pediatric age group: a comparison between three surgical techniques
1Faculty of Medicine, Alexandria University, Alexandria, Egypt. elroubypaedo@yahoo.com.
BMC Urology
|January 11, 2023
Summary
Phallopexy combined with dartos fascia excision is the most effective surgical technique for concealed penis, significantly reducing re-retraction and edema compared to other methods.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Concealed penis is a condition requiring surgical intervention.
- Evaluating different surgical techniques is crucial for optimal patient outcomes.
Purpose of the Study:
- To compare the efficacy of three surgical techniques for managing concealed penis in pediatric patients.
Main Methods:
- A prospective, non-randomized study involving 150 pediatric patients.
- Group A: Phallopexy. Group B: Dartos fascia excision. Group C: Phallopexy after dartos fascia excision.
- Follow-up included assessment of penile skin congestion, necrosis, infection, edema, and re-retraction for 6 months.
Main Results:
- Significant differences in penile edema (p<0.001) and re-retraction (p=0.002) were observed among groups.
- Group C demonstrated the lowest incidence of penile re-retraction.
- Group B showed the highest incidence of penile edema.
Conclusions:
- Phallopexy combined with complete dissection and excision of dartos fascia (Group C) yields superior results for concealed penis treatment.
- This combined approach is more effective than phallopexy or dartos excision alone.
