Tang Yue,He Dawei,Xiao Xingwang,et al. Efficacy of fundiform ligament dissection plus penoscrotal flap transposition for congenital buried penis in children:a modified Devine procedure.[J].Journal of Clinical Pediatric Surgery,,17():907-910.
Efficacy of fundiform ligament dissection plus penoscrotal flap transposition for congenital buried penis in children:a modified Devine procedure.
Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R]
volume:
第17卷
Number:
2018 12
Page:
907-910
Column:
专题讨论
Date of publication:
2018-12-18
- Keywords:
- ; Penis; Surgical Procedures; Operative; Therapy; Child
- Document code:
- A
- Abstract:
- ObjectiveTo explore the clinical efficacy of fundiform ligament dissection plus penoscrotal flap transposition for childhood congenital buried penis (CCBP).MethodsThe clinical data were retrospectively analyzed for 88 CCBP patients undergoing the same surgical procedure during January 2006 to August 2018.The median age was 83.5 (18-174) months.After dissecting fundiform ligament and full extension of shaft,a modified Devine procedure was utilized for transferring penoscrotal flap for dorsal skin defect.ResultsFundiform ligament was abnormally attached to deep penile fascia overlaying >1/2 of shaft.The mean pre and postoperative lengths of penile shaft were (2.18±0.91) and (3.95±1.13) cm respectively.One case of scrotal hematoma occurred.Fortythree cases were followed up for over 1 year.And 39 cases achieved a satisfactory appearance with a satisfaction rate of 90.6%.Two cases were slightly buried and mild scar stenosis occurred in 2 cases.There was no instance of erectile pain or abnormal urination.ConclusionA defect of penile dorsal skin and abnormal attachment of fundiform ligament to shaft are important anatomical features of CCBP.The above procedure is efficacious for congenital buried penis in children.
Last Update:
2018-12-18