Management of concealed penis with modified penoplasty

Urology
Jian-Guo XuChun-Yu Xue

Abstract

To investigate the effect of penile degloving in combination with penoscrotal angle reconstruction for the correction of concealed penis. A foreskin circumcision incision was made along the coronal sulcus. After a sharp dissection under the superficial layer of tunica albuginea, the penile shaft was degloved to release the fibrous bands of the tunica dartos. Through a longitudinal incision or Z-plasty at the penoscrotal junction, securing of the tunica albuginea to the proximal tunica dartos was performed. The penoscrotal angle was reconstructed. This procedure effectively corrected the concealed penis, while correcting other problems such as phimosis. From August 2008 to August 2013, we performed 41 procedures for concealed penis. Correction was successful in all patients with an improved median length of 2.1 cm in the flaccid state. Follow-up ranged from 6 months to 2 years, and satisfactory cosmetic outcomes were obtained without scars or erectile discomfort. Our technique includes degloving and penoscrotal angle reconstruction, which provides proper visualization for fixation of the penile base. The longitudinal or Z-plasty incision also opened the degloving dead cavity, which was good for drainage. The procedure is straigh...Continue Reading

References

Sep 11, 2007·Pediatric Surgery International·Chih-Chun ChuKe-Chi Chen
Oct 25, 2008·Journal of Pediatric Urology·Mahmood AbbasB Bachy
Nov 5, 2008·Pediatric Surgery International·Lena PergerNeil R Feins
Aug 21, 2009·The Journal of Urology·Yoshifumi SugitaSaburo Tanikaze
Feb 19, 2010·Pediatric Surgery International·Weimin YuYue Xia
Jun 1, 2012·Current Urology Reports·Ty T HiguchiKenneth W Angermeier
May 28, 2013·Urology·Tianyou YangYingquan Wen

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Citations

Jul 6, 2016·International Urology and Nephrology·Chao ChenTi-Quan Yang
Oct 20, 2018·World Journal of Urology·Maxim J McKibbenAllen F Morey
Mar 5, 2021·Investigative and Clinical Urology·Kobiljon ErgashevSang Don Lee
Apr 8, 2021·The Journal of International Medical Research·Quanxin SuLifeng Zhang

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