-
Tytuł:
-
Megaprepuce: A New Surgical Technique with Excellent Cosmetic and Functional Results.
-
Autorzy:
-
Wallace A; Division of Pediatric Urology, Department of Pediatric Surgery, Leeds General Infirmary, Leeds, United Kingdom.
Ashraf J; Division of Pediatric Urology, Department of Pediatric Surgery, Leeds General Infirmary, Leeds, United Kingdom.
-
Źródło:
-
Journal of laparoendoscopic & advanced surgical techniques. Part A [J Laparoendosc Adv Surg Tech A] 2021 Apr; Vol. 31 (4), pp. 489-496. Date of Electronic Publication: 2021 Jan 21.
-
Typ publikacji:
-
Journal Article
-
Język:
-
English
-
Imprint Name(s):
-
Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1997-
-
MeSH Terms:
-
Abnormalities, Multiple/*surgery
Foreskin/*surgery
Penis/*abnormalities
Plastic Surgery Procedures/*methods
Scrotum/*abnormalities
Surgical Flaps/*surgery
Urethral Diseases/*surgery
Urologic Surgical Procedures, Male/*methods
Child, Preschool ; Foreskin/abnormalities ; Humans ; Infant ; Length of Stay ; Male ; Operative Time ; Penis/surgery ; Postoperative Complications/prevention & control ; Postoperative Period ; Scrotum/surgery ; Treatment Outcome
-
Contributed Indexing:
-
Keywords: dartos fascial flaps; inner prepuce; megaprepuce; outer prepuce
-
SCR Disease Name:
-
Penoscrotal transposition
-
Entry Date(s):
-
Date Created: 20210121 Date Completed: 20210701 Latest Revision: 20221207
-
Update Code:
-
20240105
-
DOI:
-
10.1089/lap.2020.0064
-
PMID:
-
33475444
-
Background: Congenital megaprepuce (CMP) is a malformation consisting of redundant inner foreskin, normal penile shaft, and severe phimosis. The excess inner prepuce pushes the penile shaft deeper causing the appearance of a buried penis. We describe a novel surgical technique using dartos fascial flaps to reconstruct the prepuce giving excellent cosmetic and functional results. Patients and Methods: Penile reconstruction was performed by a single surgeon in 07 cases of CMP between January 2018 and December 2019. In all cases, the described surgical technique was used. Following surgery, cosmetic and functional outcomes were reviewed as well as the incidence of complications. The patients' ages ranged from 15 to 27 months (mean = 19). Mean hospital stay was 9 hours (range = 7-12). Operating time was between 50 and 85 minutes. Results: Postoperative appearance of the penis was satisfactory for all the parents in our group. Swelling of the penile shaft was seen in all of our patients but settled within one week of surgery. Scrotal hematoma was seen in only one of our patients, but that also did not need any intervention and settled spontaneously. During the follow-up period (mean = 14.5 months, range 6-24) no patient underwent revision surgery. In all our patients, the final appearance was of a circumcised penis. The final similarity to a normal circumcised penis was excellent in all of our patients. Correction of penoscrotal transposition was done in all patients achieving an elongated penile shaft and almost invisible postoperative scarring. Conclusion: Our modified surgical procedure to correct CMP is a safe and simple technique, providing good cosmetic results with the appearance of a standard circumcised penis. This also provides a good functional outcome with complication rate quite low. This technique is also easy to reproduce and teach compared with other complex procedures.