A novel cavernosum-free surgical technique for concealed penis of children
10.3760/cma.j.issn.1009-4598.2018.08.003
- VernacularTitle: 免白膜缝合两点固定法治疗小儿隐匿性阴茎(附38例报道)
- Author:
Xuejia LAI
1
;
Zhijun SUN
;
Li FANG
Author Information
1. Department of Urology Ningbo Ninth Hospital, Ningbo 315020, China
- Publication Type:Clinical Trail
- Keywords:
Concealed penis;
Lengthening of penis;
Cavernosum-free
- From:
Chinese Journal of Plastic Surgery
2018;34(8):598-601
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the feasibility and applicability of a novel cavernosum-free surgical technique for concealed penis of children.
Methods:From June 2017 to August 2017, 38 boys with concealed penis were treated using our new cavernosum-free surgical technique. The median age was 8.5 years(4-13 years). The technique consisted of 3 steps: Step 1, making a horizon incision and expose the glans; Step 2, suturing skin of penis to the corresponding side of inguinal ligament medial crus at 2 and 10 o′clock without fixing of cavernosum.Step 3, pruning the foreskin and suturing together. No catheter was placed after surgery.
Results:All the patients were able to urinate 2 to 6 hours after operation. The numeric rating scales score of postoperative pain was 1-3. Wound dressing was removed 5 to 7 days post-operatively. All of the parents had good cosmetic appearance, penis stretched naturally without deflection. The length of penis increased more than 3.0 cm on average after operation.Edema was observed in 3 cases, but disappeared in 5-7 days.No serious complications such as bleeding or winding occurs.
Conclusions:The novel cavernosum-free surgical technique is easy to perform. It provides a safe and effective technique for concealed penis of children.
