The modified Devine procedure for penile reconstruction: A retrospective study of 80 cases

Concealed penis is a common congenital genital abnormality. This study aimed to introduce a penile reconstruction method for concealed penis, namely the modified Devine procedure, and evaluate its safety and efficacy.

We retrospectively reviewed 80 consecutive patients with concealed penis, who underwent surgical correction between May 2019 and May 2023 in our department. All patients underwent a modified Devine procedure. Data on the patients' age, body mass index, operative time, blood loss, preoperative and postoperative penile lengths, and postoperative complications were collected and analyzed.

All operations were successful. Patients had a mean age of 10.30 (standard deviation [SD] 1.07) years and a mean body mass index of 20.26 (SD 2.26) kg/m². The mean operative time was 56.35 (SD 8.62) min, and the mean volume of blood loss was 6.58 (SD 1.34) mL. The mean follow-up time was 15.97 (SD 2.92, range 12-24) months. Penile length increased significantly at 1 month and 12 months postoperatively, with continued growth over time. No major complications occurred. Mild lymphedema was the most common minor complication but resolved spontaneously within 6 weeks. No other adverse events were observed.

The modified Devine procedure for concealed penis achieved clinically safe and effective penile reconstruction outcomes, as well as satisfactory cosmetic appearance. Given its favorable results and minimal complications, this surgical approach appears to be a promising surgical option for selected patients with concealed penis.