A new treatment of concealed penis: symmetrical pterygoid flap surgery

作者全名："Jing, Peng; Zhao, Dan; Wu, Qiao; Wu, Xiaohou"

作者地址："[Jing, Peng; Wu, Xiaohou] Chongqing Med Univ, Urol Surg, Affiliated Hosp 1, Chongqing, Peoples R China; [Jing, Peng; Zhao, Dan; Wu, Qiao] North Sichuan Med Coll, Pediat Surg, Affiliated Hosp, Nanchong, Sichuan, Peoples R China"

通信作者："Wu, XH (通讯作者)，Chongqing Med Univ, Urol Surg, Affiliated Hosp 1, Chongqing, Peoples R China."

来源：INTERNATIONAL BRAZ J UROL

ESI学科分类：CLINICAL MEDICINE

WOS号：WOS:001179905800009

JCR分区：Q1

影响因子：3.1

年份：2023

卷号：49

期号：6

开始页：740

结束页：748

文献类型：Article

关键词：Penis; Surgical Flaps; Therapeutics

摘要："Purpose: Considerable controversy exists regarding the surgery for concealed penis. We describe a new technique for repairing concealed penis by symmetrical pterygoid flap surgery. Methods: From January 2016 to July 2022, we evaluated 181 cases of concealed penis that were surgically treated using the symmetrical pterygoid flap surgery. We measured the penile size preoperative and 2, 4, 12 weeks, and 1 year postoperative to confirm the improvement. A questionnaire was administered to the patients and parents to assess satisfaction regarding penile size, morphology, and hygiene. Result: The perpendicular penile length was1.59 +/- 0.32cm preoperative and 3.82 +/- 1.02 cm after the procedure (p < 0.05), and 4.21 +/- 1.91cm after one year of postoperative (p < 0.05). The overall satisfaction of patients was 97.89%, while the overall satisfaction of older children patients (age>7) was 75.24%. Parents focus more on the penile exposure size, while patients focus more on the penile morphology. Almost every patient had postoperative penile foreskin edema. However, this symptom had spontaneously resolved by 4-6 weeks. The complications such as skin necrosis, tissue contracture, or wound infection were 4.42%. Conclusion: The symmetrical pterygoid flap surgery is an effective surgical technique for the management of concealed penis in children producing predictable results and excellent satisfaction of the parents and patients."

基金机构：City/School Science and Technology Strategic Cooperation Project of Nanchong [22SXQT0212]

基金资助正文：City/School Science and Technology Strategic Cooperation Project of Nanchong 22SXQT0212