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Clinical Study of Modified Devine's Surgical Technique in the Treatment of Concealed Penis
Ziyi Zhang1, Hao Wu2, Weijiang Mao3
1Department of Urology, The Affiliated Changzhou No. 2 People's Hospital of Nanjing Medical University, Changzhou, China. zhangziyi6357@163.com.
Insights
The modified Devine's technique effectively treats concealed penis in children, increasing penile length and parent satisfaction. This surgical approach is safe and shows promising clinical application for this condition.
Area of Science:
- Pediatric Surgery
- Urology
Background:
- Concealed penis is a congenital condition requiring surgical correction.
- Accurate surgical techniques are crucial for optimal outcomes.
Purpose of the Study:
- To evaluate the clinical efficacy of a modified Devine's surgical technique for treating concealed penis.
- To assess the impact on penile length and parental satisfaction.
Main Methods:
- Fifty-six children with concealed penis underwent the modified Devine's technique between July 2015 and September 2020.
- Penile length and satisfaction scores were recorded pre- and post-operatively.
- Postoperative follow-up included monitoring for complications and assessing penile retraction at twelve weeks.
Main Results:
- The modified Devine's technique resulted in a statistically significant increase in penile length (P < 0.001).
- Parental satisfaction scores showed significant improvement (P < 0.001).
- Postoperative penile edema was common but resolved within four weeks; no other complications or significant penile retraction were observed.
Conclusions:
- The modified Devine's technique is a safe and effective surgical option for concealed penis.
- The procedure leads to improved penile length and high patient satisfaction.
- This technique warrants broad clinical adoption for treating concealed penis.
Purpose:
This study aimed to observe the clinical effect of modified Devine's surgical technique in the treatment of concealed penis.
Materials And Methods:
From July 2015 to September 2020, fifty-six children with concealed penis were treated with modified Devine's technique. Recorded the penile length and the satisfaction score preoperatively and postoperatively to confirm the effect of the surgery. Followed up the penis for bleeding, infection and edema one week and four weeks after the operation. Twelve weeks after the operation, we measured the length of the penis and observed whether there was a retraction.
Results:
The length of the penis has been effectively lengthened(P < 0.001). There was significant improvement in parents' satisfaction grades (P < 0.001). All the patients had different degrees of penile edema after the operation. Most of the penile edema subsided about four weeks after the operation. No other complications occurred. No obvious penile retraction was found twelve weeks postoperative.
Conclusion:
The modified Devine's technique was safe and effective. As a treatment for concealed penis, it is worthy of wide clinical application.
