Penoplasty with scrotal flap for the treatment of buried penis in children.
- Author:
Sheng-Song HUANG
1
;
Deng-Long WU
;
Tao YUAN
;
Qi-Quan JIANG
;
Fang CHEN
;
Hua XIE
Author Information
- Publication Type:Journal Article
- MeSH: Child; Child, Preschool; Humans; Infant; Male; Penis; abnormalities; surgery; Scrotum; surgery; Surgical Flaps; Treatment Outcome
- From: Chinese Journal of Plastic Surgery 2012;28(4):260-263
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo investigate the therapeutic effect of penoplasty with scrotal skin flap for the treatment of buried penis in children.
METHODSThe narrow ring was cut vertically at the ventral side of penis and the prepuce inner plate was circularly cut 0.5 cm from the coronary sulcus. The prepuce was degloved to the base of penis. The abnormal aponeurosis was removed completely. The prepuce was designed to cover the coronary sulcus. The scrotal flaps at both sides were formed and advanced to cover the penile base. Then the prepuce was sutured to reconstruct penile-scrotal angle and scrotum plasty was completed.
RESULTSFrom March 2009 to July 2011, 24 children with buried penis were treated with scrotal flaps. Adhesion at external orifice of urethra was happened in two cases which recovered after urethra expansion. There was one case of necrosis at the distal end of prepuce. All the cases were followed up for 6 months to 2 years with no penile shrinkage. The penile appearance was good without rotation or lateral curvature during erection.
CONCLUSIONSThe buried penis can be best corrected with scrotal flap. It is an ideal method with less complication.
