Effect of the modified Devine technique on the concealed penis in children
10.3760/cma.j.cn341190-20230328-00234
- VernacularTitle:小儿隐匿阴茎应用改良Devine术的效果研究
- Author:
Jia ZHOU
1
;
Yao LIU
;
Xinxin WANG
Author Information
1. 温州市中西医结合医院手术室，温州 325000
- Keywords:
Penile diseases;
Operative time;
Blood loss, surgical;
Length of stay;
Postoperative complications;
Follow-up studies;
Child
- From:
Chinese Journal of Primary Medicine and Pharmacy
2024;31(7):1017-1021
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the effect of modified Devine technique on the concealed penis in children and the 3-year follow-up outcomes.Methods:Eighty children with concealed penis who underwent treatment at Wenzhou Hospital of Integrated Traditional Chinese and Western Medicine between January 2015 and December 2018 were retrospectively included in this study. These children were categorized into two groups: a control group ( n = 39) and a study group ( n = 41), based on their surgical strategies. The control group underwent traditional Devine surgery, and the study group underwent modified Devine surgery. The surgical effects, surgical indicators, the length of the penis, complications, and 3-year follow-up outcomes were compared between the two groups. Results:The overall response rate in the study group was 95.12% (39/41), which was significantly higher than the 79.49% (31/39) in the control group ( χ2 = 4.47, P < 0.05). The operative time, blood loss during surgery, and the length of hospital stay in the study group were (40.58 ± 5.54) minutes, (20.43 ± 4.38) mL, and (6.75 ± 0.34) days, respectively. All these measures were shorter than those in the control group ( t = 2.95, 2.32, 4.83, all P < 0.05). At 12 weeks post-surgery, the length of the penis in both groups increased significantly compared with respective pre-surgery measurements ( P < 0.05). Notably, the lengths of the penis in the study group were (4.18 ± 0.57) cm, which were significantly longer compared with those in the control group ( t = 3.14, P < 0.05). Moreover, the incidence of complications in the study group was significantly lower than that in the control group [19.51% (8/41) vs. 43.59% (17/39), χ2 = 5.39, P < 0.05]. During the 3-year follow-up, six cases in the control group developed penis retraction due to poor root fixation, while two cases exhibited poor appearance due to obesity, although their penile body development was considered acceptable. All remaining children in the control group and those in the study group had full penis exposure, a satisfactory appearance, and no retraction. Conclusion:The modified Devine technique is effective in the treatment of children with concealed penises. It features a short operative time, minimal blood loss during surgery, restoration of the penis shape, and reduced complications. Consequently, children can be discharged as soon as possible.
