Jang Mingzhu,Fan Yingzhong,Shi Zhikang.. Clinical efficacy of modified Devines versus modified Shirakis procedure for completely concealed penis.[J].Journal of Clinical Pediatric Surgery,,17():902-906.
Clinical efficacy of modified Devines versus modified Shirakis procedure for completely concealed penis.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 12
Page:
902-906
Column:
专题讨论
Date of publication:
2018-12-18
- Keywords:
- ; Penia/AB; Modified Devins Operatron; Improved Shiraki; Therapy
- Document code:
- A
- Abstract:
- ObjectiveTo compare the efficacy of modified Devines versus modified Shirakis procedure for completely concealed penis in children.MethodsFrom June 2012 to June 2016,clinical data were reviewed for a total of 112 cases of concealed penis.Devines and Shirakis procedures were performed (n=56 each).Two groups were compared with regards to volume of intraoperative blood loss,postoperative lengthening value of exposed penis and postoperative penile edema absorption time.ResultsAll incisions healed well without injury of dorsal nerve,blood vessel or ventral urethra injury.There was no skin flap necrosis or infection,stubborn postoperative edema or penile erectile pain.The mean volume of intraoperative blood loss was 8.2±1.71 mL in Devines group versus 16.3±3.13 mL in modified group.And the difference was statistically significant (t=12.01,P<0.05).The average length of exposed penis was 2.4±0.48 cm in Devines group versus 2.4±0.56 cm in Shirakis group.And the difference was not statistically significant (t=0.22,P>0.05).The regression time of penile edema was significantly longer in Devines group than that in Shirakis group.And the difference was statistically significant (t=8.43,P<0.05).After modified Devines procedure,penile prepuce was edematous and selfabsorption subsided after 1-3 months.After modified Shirakis procedure,penile prepuce was mildly edematous and selfabsorption subsided after 2 weeks to 1 month.The followup period was 2 years after modified Devines procedure.Fiftytwo cases had satisfactory penile exposure and another four achieved satisfactory outcomes after reoperation due to a breakage of suture line on penile root.After modified Shirakis procedure.all penile bodies were exposed at rest,foreskin mouth was not narrowed,penis head was partially exposed,appearance was satisfactory and orthopedic was excellent.ConclusionSurgical treatment of concealed penis is definitely efficacious so that appropriate surgical approaches should be selected for different causes.
Last Update:
2018-12-18