Technical nuances of the concealed penis repair

IF 2 3区 医学 Q2 PEDIATRICS
Mark R. Zaontz , Christopher J. Long
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引用次数: 0

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.
阴茎隐蔽修复术的技术细节
包皮环切术是常见的手术,但也会出现解剖变异,如果处理不当,会影响手术效果。隐匿阴茎和阴茎包皮蹼的组合相当常见,严重程度不一。如果不进行修复,可能会导致阴茎被埋藏,造成阴茎粘连、伤口愈合问题,并使阴茎因位置后缩而显得较短。我们介绍的这项技术具有可重复性,在解决这两个问题方面非常成功。阴茎系带旁方法更常用,无需在阴茎阴囊交界处切开,就能可靠地矫正蹼状和隐匿。当出现更严重的缺损时,可在阴茎睾丸交界处做一个 Y 形切口,调动皮瓣来矫正缺损。在我们的 885 例患者中,736 例采用了阴囊旁带技术进行矫正,149 例接受了复杂的阴囊成形术。没有一名患者因并发症而需要二次手术。
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来源期刊
Journal of Pediatric Urology
Journal of Pediatric Urology PEDIATRICS-UROLOGY & NEPHROLOGY
CiteScore
3.70
自引率
15.00%
发文量
330
审稿时长
4-8 weeks
期刊介绍: The Journal of Pediatric Urology publishes submitted research and clinical articles relating to Pediatric Urology which have been accepted after adequate peer review. It publishes regular articles that have been submitted after invitation, that cover the curriculum of Pediatric Urology, and enable trainee surgeons to attain theoretical competence of the sub-specialty. It publishes regular reviews of pediatric urological articles appearing in other journals. It publishes invited review articles by recognised experts on modern or controversial aspects of the sub-specialty. It enables any affiliated society to advertise society events or information in the journal without charge and will publish abstracts of papers to be read at society meetings.
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