{"title":"How do I do it: Modified Devine procedure with sleeve dartos fasciectomy for post-circumcision concealed penis.","authors":"Meng Gui, Lei Zhang, Hao Wang, Qingbao He","doi":"10.1016/j.jpurol.2025.09.007","DOIUrl":null,"url":null,"abstract":"<p><p>Concealed penis after circumcision can result in a buried penis appearance due to fibrotic dartos tissue tethering the shaft. We present a modified Devine's procedure that includes complete circumferential excision of the abnormal dartos fascia (\"sleeve\" dartos fasciectomy) and dermal anchoring of the shaft skin to fully release the penis and improve exposure. In 22 boys treated with this technique, stretched penile length approximately doubled (from ∼1.8 cm to 4.3 cm) with no recurrences. Only minor complications occurred, and patient/family satisfaction with the postoperative appearance was high. This approach provides a simple, effective solution for post-circumcision concealed penis.</p>","PeriodicalId":16747,"journal":{"name":"Journal of Pediatric Urology","volume":" ","pages":""},"PeriodicalIF":1.9000,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Urology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jpurol.2025.09.007","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0
Abstract
Concealed penis after circumcision can result in a buried penis appearance due to fibrotic dartos tissue tethering the shaft. We present a modified Devine's procedure that includes complete circumferential excision of the abnormal dartos fascia ("sleeve" dartos fasciectomy) and dermal anchoring of the shaft skin to fully release the penis and improve exposure. In 22 boys treated with this technique, stretched penile length approximately doubled (from ∼1.8 cm to 4.3 cm) with no recurrences. Only minor complications occurred, and patient/family satisfaction with the postoperative appearance was high. This approach provides a simple, effective solution for post-circumcision concealed penis.
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.