To evaluate the effect of modified penoplasty in the management of concealed penis. We retrospectively reviewed 96 consecutive patients with concealed penis, which had been surgically corrected between July 2013 and July 2015. All patients underwent modified Shiraki phalloplasty. All patients were scheduled for regular follow-up at 1, 3, and 6 months after the surgery. Data on the patients' age, operative time, postoperative complications, and parents' satisfaction grade were collected and analyzed. The mean follow-up period was 17.4 months (range 7-31 months). The mean operative time was 63.2 +/- 8.7 min. The mean perpendicular penile length was 1.89 +/- 0.77 cm preoperatively and 4.42 +/- 0.87 cm postoperatively, with an improved mean length of 2.5 +/- 0.68 cm in the flaccid state postoperatively (p < 0.05). The patients' satisfaction grades after the surgery were improved significantly (p < 0.05). Fifty-two patients had penile lymphedema postoperatively; however, it disappeared spontaneously within 3 months. Additionally, postoperative wound infection occurred in two patients. There were no complications such as flap necrosis, penile shaft contracture, voiding difficulty, and erection difficulties. The modified Shiraki phalloplasty for concealed penis can achieve maximum utilization of prepuce to assure coverage of the exposed penile shaft. It has fewer complications, achieving marked asthetics, and functional improvement. It is a relatively ideal means for treating concealed penis.
基金:
Guangxi Education Department Promotion Program for Middle-Aged and Young Teacher [KY2016YB102]
第一作者机构:[1]Guangxi Med Univ, Dept Pediat Surg, Affiliated Hosp 1, Nanning 530021, Peoples R China;
通讯作者:
通讯机构:[1]Guangxi Med Univ, Dept Pediat Surg, Affiliated Hosp 1, Nanning 530021, Peoples R China;
推荐引用方式(GB/T 7714):
Chen Chao,Li Ning,Luo Yi-ge,et al.Effects of modified penoplasty for concealed penis in children[J].INTERNATIONAL UROLOGY AND NEPHROLOGY.2016,48(10):1559-1563.doi:10.1007/s11255-016-1360-6.
APA:
Chen, Chao,Li, Ning,Luo, Yi-ge,Wang, Hong,Tang, Xian-ming...&Yang, Ti-quan.(2016).Effects of modified penoplasty for concealed penis in children.INTERNATIONAL UROLOGY AND NEPHROLOGY,48,(10)
MLA:
Chen, Chao,et al."Effects of modified penoplasty for concealed penis in children".INTERNATIONAL UROLOGY AND NEPHROLOGY 48..10(2016):1559-1563