Buried penis surgical treatment in children: Dorsal dartos flap VS. Fascia fixation. A retrospective cohort study

Delgado-Miguel, Carlos; Muñoz-Serrano, Antonio; Amesty, Maria Virginia; Rivas, S.; Lobato, Roberto; Pereira, P. López; Urrutia, María José Martínez

doi:10.1016/j.jpurol.2021.12.016

Cited by 9 publications

(5 citation statements)

References 14 publications

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“…Other surgeons believed in the importance of the dartos layer and avoided its excision in the treatment of buried penis and innovated a new technique of doing dorsal dartos flap fixed at both sides of the penile base with satisfactory results as compared to fascia fixation [ 13 ].…”

Section: Discussionmentioning

confidence: 99%

Concealed penis in pediatric age group: a comparison between three surgical techniques

Elrouby

2023

BMC Urol

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Background Comparison between three different surgical techniques in the management of concealed penis. Methods This prospective interventional non-randomized study included 150 pediatric patients with a concealed penis. They were distributed equally into three groups; group A; patients treated by anchoring the penile skin dermis to Buck's fascia at the penile base at 3 and 9 o'clock points using PDS 5/0 (phallopexy), group B; patients treated by complete dissection and excision of dartos fascia and group C; patients treated by phallopexy as in group A after complete dissection and excision of dartos fascia. Follow-up at the end of the 1st post-operative week and then monthly for 6 months as regards penile skin congestion and/or necrosis, wound infection, edema, and/or re-retraction was carried out. Results Penile edema and re-retraction have a statistically significant difference among the studied groups (p < 0.001 and p = 0.002 respectively). Penile re-retraction was noticed to be lowest in patients of group C, however penile edema was observed to be highest in patients of group B. Conclusions Phallopexy after complete dissection and excision of dartos fascia have better results than doing either phallopexy or dartos excision alone in the treatment of concealed penis. Clinical trial registration: The manuscript was registered in ClinicalTrials.gov Protocol Registration and Results System. ClinicalTrials.gov Identifier: NCT05565040. Our manuscript was registered on 4/10/2022.

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Section: Discussionmentioning

confidence: 99%

Concealed penis in pediatric age group: a comparison between three surgical techniques

Elrouby

2023

BMC Urol

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“…Therefore, an increasing interest in concealed penises and true micropenis has been observed among physicians, with the subsequent refinement of different operative techniques and classification systems [3,9,[13][14][15][16][17][18][19][20].…”

Section: Discussionmentioning

confidence: 99%

Penile Length Assessment of Children Treated for Primary Buried Penis: Can Satisfying Penile Growth Always Be Achieved?

Pensabene,

Sergio,

Baldanza

et al. 2023

Children

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Primary buried (BP) penis is describes as a small penis caused by a penile ligaments anomaly; it is unclear if a primary BP could reach a normal length. We selected 49 patients treated at our institution between 2015 and 2020 in order to post-operatively evaluate the SPL after one year. SPL was evaluated according to the PH Tanner staging system for pre-pubertal patients according to age-normalized values. A micropenis was detected if the SPL was below 2.5 SD. A normal SPL was found in thirty-two patients, eighteen were in PH Stage 1, four were in PH Stage 2, six were in PH Stage 3, and four were in PH Stage 5. Seventeen patients showed a reduced SPL; in seven of these (four in PH Stage 4 and three in PH Stage 5), their SPL was <2.5 ST. The difference in micropenis prevalence between the pre-pubertal and post-pubertal patients was significant (p = 0.038). A primary BP grows normally during the pre-pubertal period, where patients frequently showed a normal SPL, but it seems to be unable to reach a normal length in the higher PH stages, where the SPL is used to detect a micropenis. We suggest that a primary BP should be considered not as a simple defect of the penile ligaments and surrounding tissues, but as an incomplete manifestation of a micropenis due to a growth slowdown of the organ in late puberty.

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“…Our technique uses principles of previous techniques, however adding a few aspects that seem to us important such as the use of two laterally positioned flaps that lead the body of the penis to a more posterior position, causing the entire organ to be fully exposed. 3 , 4 Withdrawal of the dartos fascia that in these cases keeps the penis buried, facilitates fixation of the body of the organ to the laterally positioned flaps, with a quite good outcome from the esthetic point of view ( Fig. 3 ).…”

Section: Methodsmentioning

confidence: 99%

Some technical contributions to the treatment of buried penis

Filho

Tonel

Medeiros

et al. 2023

Urology Case Reports

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Buried penis surgical treatment in children: Dorsal dartos flap VS. Fascia fixation. A retrospective cohort study

Cited by 9 publications

References 14 publications

Concealed penis in pediatric age group: a comparison between three surgical techniques

Concealed penis in pediatric age group: a comparison between three surgical techniques

Penile Length Assessment of Children Treated for Primary Buried Penis: Can Satisfying Penile Growth Always Be Achieved?

Some technical contributions to the treatment of buried penis

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