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Effects of modified penoplasty for concealed penis in children

  • Urology - Original Paper
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Abstract

Purpose

To evaluate the effect of modified penoplasty in the management of concealed penis.

Methods

We retrospectively reviewed 96 consecutive patients with concealed penis, which had been surgically corrected between July 2013 and July 2015. All patients underwent modified Shiraki phalloplasty. All patients were scheduled for regular follow-up at 1, 3, and 6 months after the surgery. Data on the patients’ age, operative time, postoperative complications, and parents’ satisfaction grade were collected and analyzed.

Results

The mean follow-up period was 17.4 months (range 7–31 months). The mean operative time was 63.2 ± 8.7 min. The mean perpendicular penile length was 1.89 ± 0.77 cm preoperatively and 4.42 ± 0.87 cm postoperatively, with an improved mean length of 2.5 ± 0.68 cm in the flaccid state postoperatively (p < 0.05). The patients’ satisfaction grades after the surgery were improved significantly (p < 0.05). Fifty-two patients had penile lymphedema postoperatively; however, it disappeared spontaneously within 3 months. Additionally, postoperative wound infection occurred in two patients. There were no complications such as flap necrosis, penile shaft contracture, voiding difficulty, and erection difficulties.

Conclusion

The modified Shiraki phalloplasty for concealed penis can achieve maximum utilization of prepuce to assure coverage of the exposed penile shaft. It has fewer complications, achieving marked asthetics, and functional improvement. It is a relatively ideal means for treating concealed penis.

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Acknowledgments

This work was supported by grants from the Guangxi Education Department Promotion Program for Middle-Aged and Young Teacher (KY2016YB102).

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    Authors and Affiliations

    1. Department of Pediatric Surgery, The First Affiliated Hospital of Guangxi Medical University, Nanning, 530021, China

      Chao Chen, Yi-ge Luo, Hong Wang, Xian-ming Tang, Jia-bo Chen, Chun-qiang Dong, Qiang Liu, Kun Dong, Cheng Su & Ti-quan Yang

    2. Department of Pediatric Urology, Beijing Children’s Hospital, Affiliated to Capital Medical University, Beijing, 100045, China

      Ning Li

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    1. Chao Chen
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    2. Ning Li
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    3. Yi-ge Luo
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    4. Hong Wang
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    6. Jia-bo Chen
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    10. Cheng Su
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    11. Ti-quan Yang
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    Corresponding author

    Correspondence to Ti-quan Yang.

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    The authors declare that they have no conflict of interest.

    Additional information

    Chao Chen and Ning Li have contributed equally.

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    Chen, C., Li, N., Luo, Yg. et al. Effects of modified penoplasty for concealed penis in children. Int Urol Nephrol 48, 1559–1563 (2016). https://doi.org/10.1007/s11255-016-1360-6

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    • DOI: https://doi.org/10.1007/s11255-016-1360-6

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