A new surgical technique for concealed penis using an advanced musculocutaneous scrotal flap

BMC Urology

Technical Advance

Dong-Seok Han¹  Hoon Jang¹  Seung-Mo Yuk¹  Chang-Shik Youn¹ 

[1] The Catholic University of Korea, Daejeon Saint Mary’s Hospital, 64, Daeheung-ro, 301-723, Jung-gu, Daejeon, Republic of Korea;

关键词: Penis;    Scrotum;    Lymphedema;   

DOI  :  10.1186/s12894-015-0044-3

 received in 2014-08-28, accepted in 2015-06-01,  发布年份 2015

来源: Springer

【 摘 要 】

BackgroundUntil recently, no single, universally accepted surgical method has existed for all types of concealed penis repairs. We describe a new surgical technique for repairing concealed penis by using an advanced musculocutaneous scrotal flap.MethodsFrom January 2010 to June 2014, we evaluated 12 patients (12–40 years old) with concealed penises who were surgically treated with an advanced musculocutaneous scrotal flap technique after degloving through a ventral approach. All the patients were scheduled for regular follow-up at 6, 12, and 24 weeks postoperatively. The satisfaction grade for penile size, morphology, and voiding status were evaluated using a questionnaire preoperatively and at all of the follow-ups. Information regarding complications was obtained during the postoperative hospital stay and at all follow-ups.ResultsThe patients’ satisfaction grades, which included the penile size, morphology, and voiding status, improved postoperatively compared to those preoperatively. All patients had penile lymphedema postoperatively; however, this disappeared within 6 weeks. There were no complications such as skin necrosis and contracture, voiding difficulty, or erectile dysfunction.ConclusionsOur advanced musculocutaneous scrotal flap technique for concealed penis repair is technically easy and safe. In addition, it provides a good cosmetic appearance, functional outcomes and excellent postoperative satisfaction grades. Lastly, it seems applicable in any type of concealed penis, including cases in which the ventral skin defect is difficult to cover.

【 授权许可】

Unknown   
© Han et al. 2015. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.