A comparative study of the clinical efficacy and quality of life of modified Brisson surgery vs traditional Devine surgery in the treatment of concealed penis

Na Guo ¹, Bin Yang ¹, Nan Li ¹

⁰Department of Urology Surgery, Baoding Hospital, Beijing Children's Hospital Affiliated to Capital Medical University, Baoding, Hebei, China.

Frontiers in Surgery +

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December 3, 2025

View abstract on PubMed

Summary

Modified Brisson surgery for concealed penis (CP) shows superior outcomes compared to Devine surgery, with better penile length and improved quality of life. This approach is recommended for clinical practice.

Area Of Science

Pediatric Surgery
Urology
Clinical Efficacy Studies

Background

Concealed penis (CP) is a congenital condition requiring surgical intervention.
Traditional Devine surgery has been used for CP treatment.
Assessing novel surgical techniques is crucial for improving patient outcomes.

Purpose Of The Study

To compare the clinical efficacy and quality of life outcomes between modified Brisson surgery and traditional Devine surgery for concealed penis (CP).

Main Methods

A comparative study involving 120 children with CP.
Randomized allocation into two groups: modified Brisson surgery (experimental) and traditional Devine surgery (control).
Evaluation of surgical outcomes, penile length, complication rates, and quality of life indicators.

Main Results

Modified Brisson surgery demonstrated a significantly higher response rate (100% vs. 93%) and improved penile length at 6 months post-surgery.
Lower incidence of postoperative complications in the modified Brisson group (5% vs. 17%).
Significant improvements in quality of life metrics, including convenience, emotional well-being, and self-satisfaction, were observed in the modified Brisson group.

Conclusions

Modified Brisson surgery is an effective treatment for concealed penis (CP).
It offers advantages such as higher response rates, reduced complications, and enhanced quality of life.
This technique is a valuable and recommendable option for clinical application in CP management.

Keywords:

clinical efficacy concealed penis modified Brisson surgery quality of life traditional Devine surgery