A comparative study on the clinical efficacy of modified Devine surgery combined with scrotal flap transfer and traditional Devine surgery in the treatment of concealed penis in children
10.3969/j.issn.1009-8291.2024.02.009
- VernacularTitle:改良Devine术联合阴囊皮瓣推移术与传统Devine术治疗儿童隐匿性阴茎的临床疗效比较
- Author:
Jiayu ZHAO
1
,
2
;
Huan NIE
1
,
2
;
Qiangli GAO
1
,
2
Author Information
1. Department of Urology, Puren Hospital Affiliated to Wuhan University of Science and Technology, Wuhan 430081
2. Medical College, Wuhan University of Science and Technology, Wuhan 430080, China
- Publication Type:Journal Article
- Keywords:
concealed penis;
modified Devine surgery;
scrotal flap transfer;
traditional Devine surgery
- From:
Journal of Modern Urology
2024;29(2):136-140
- CountryChina
- Language:Chinese
-
Abstract:
【Objective】 To analyze the clinical efficacy of modified Devine surgery combined with scrotal flap transfer in the treatment of concealed penis (CP) in children and provide reference for the surgical treatment of CP in children. 【Methods】 The clinical data of 54 CP children who underwent surgery in the Department of Urology, Puren Hospital Affiliated to Wuhan University of Science and Technology during Jun.2019 and Sep.2022 were retrospectively analyzed, including 27 patients treated with traditional Devine surgery (control group), and 27 patients in the modified group treated with modified Devine surgery combined with scrotal flap transfer (double degloving). The perioperative indexes, incidence of postoperative complications, penile lengthening and satisfaction of postoperative appearance were recorded. 【Results】 The surgical time of the modified group was longer than the control group [(62.78±5.07) min vs. (55.93±4.83) min ](t=5.085, P<0.05). The exposed length and penile lengthening length with moderate and severe CP patients in the modified group at 1 and 6 months after surgery were higher than those in the control group (P<0.05).The duration of prepuce edema, and the satisfaction of family members of moderate and severe CP children were (6.93±1.54) d vs. (5.56±1.16) d, (2.44±0.62) vs. (2.83±0.38), and (2.44±0.73) vs. (3.00±0) between the control and modified groups (P<0.05). There were no statistically significant difference in intraoperative bleeding volume and incidence of complications between the two groups (P>0.05). 【Conclusion】 In the treatment of CP, modified Devine surgery combined with scrotal flap transfer can produce good effects and appearance, which is of high application value.
