Technical nuances of the concealed penis repair.
J Pediatr Urol
; 20(5): 1002-1003, 2024 Oct.
Article
en En
| MEDLINE
| ID: mdl-39084999
ABSTRACT
Circumcision is commonly performed but anatomic variants occur and can affect outcomes if not addressed properly. The combination of concealed penis and penoscrotal webbing is fairly common and presents across a spectrum of severity. If not repaired, this can result in a buried penis that can cause penile adhesions, wound healing concerns, and make the penis appear shorter secondary to a retracted position. We present our technique that is reproducible and highly successful in addressing both of these concerns. The paraphimotic band approach is performed more commonly and is able to reliably correct webbing and concealment without an incision at the penoscrotal junction. When more severe defect is present, a Y shaped incision is made at the penoscrotal junction to mobilize skin flaps to correct the deficit. In our cohort of 885 patients, 736 were corrected using the paraphimotic band technique while 149 underwent a complex scrotoplasty. None of the patients required a secondary surgery for complications.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Pene
/
Procedimientos Quirúrgicos Urológicos Masculinos
Límite:
Humans
/
Infant
/
Male
Idioma:
En
Revista:
J Pediatr Urol
Año:
2024
Tipo del documento:
Article
Pais de publicación:
Reino Unido