Effects of modified penoplasty for concealed penis in children

Chen, Chao; Li, Ning; Luo, Yige; Wang, Hong; Tang, Xian‐Ming; Chen, Jiabo; Dong, Changxian; Liu, Qiang; Dong, Kun; Su, Cheng; Yang, Tao

doi:10.1007/s11255-016-1360-6

Cited by 8 publications

(7 citation statements)

References 15 publications

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“…The causes of CP are congenital peritoneal tissue development abnormalities and obesity, which mostly occur in children [ 1 , 2 ]. CP can cause abnormalities in the function and structure of the cavernous body of the penis and even have a great impact on the growth and development and psychological behavior of patients [ 3 ]. However, due to insufficient understanding of the clinical features and etiology of CP, the diagnosis is different, and it is easy to be misdiagnosed and missed [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

Preliminary Study on the Application of Nanochitosan Film and Petrolatum Gauze in the Modified Devine Operation

Feng

Zhu

2022

Contrast Media & Molecular Imaging

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Although the use of sterile petroleum jelly gauze combined with nanochitosan film to wrap wounds has been proven to have good results, it has not been applied for modified Devine surgery. The use of sterile petroleum jelly gauze alone in the modified Devine surgery to treat concealed penis in children has different effects. In this study, the systematic evaluation of the effect of the modified Devine technique (Vaseline gauze bandaging the wound) in the treatment of concealed penis in children is conducted. Furthermore, the application of nanochitosan film and Vaseline gauze in the modified Devine technique is proposed. By analytical search in PubMed, China Knowledge Network (CKN), and other Chinese and foreign literature databases, there are 13 studies describing the development of the penis during the follow-up period with high satisfaction of patients and their family members. In addition, systematic evaluations have shown that the complete removal of the fibrotic penile sarcoid tissue is an important reason for the remarkable curative effect of the modified Devine surgery in the treatment of concealed penis in children.

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Section: Introductionmentioning

confidence: 99%

Preliminary Study on the Application of Nanochitosan Film and Petrolatum Gauze in the Modified Devine Operation

Feng

Zhu

2022

Contrast Media & Molecular Imaging

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“…Several surgical methods with good therapeutic effects are available, including the Shiraki, Johnston, Devine, and Brisson methods. 14–16…”

Section: Discussionmentioning

confidence: 99%

“…Several surgical methods with good therapeutic effects are available, including the Shiraki, Johnston, Devine, and Brisson methods. [14][15][16] Because some parents have an inadequate understanding of a concealed penis, they may mistake the condition for simply a short penis or phimosis. Thus, they may not present their child to the hospital until puberty, which delays the optimal treatment period.…”

Section: Discussionmentioning

confidence: 99%

Clinical effect of Brisson operation modified by Y-shaped incision for treatment of concealed penis in adolescents

Gao

Lü

et al. 2021

J Int Med Res

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Objective To analyze the clinical effect of the Brisson operation modified by a Y-shaped incision in treating adolescent concealed penis. Methods We retrospectively analyzed clinical data of 27 adolescents with a concealed penis treated with the Brisson operation modified by a Y-shaped incision in our hospital from January 2017 to March 2020. Results The operation went smoothly in all 27 patients. Postoperative foreskin edema occurred in 12 patients and spontaneously resolved within 1 month postoperatively. Two patients developed postoperative retropubic infection. After administering antibiotics and symptomatic treatment, both patients’ conditions improved within 1 week. All operations obtained satisfactory results. Postoperatively, when the penis was in a non-erect state, it was clearly exposed without retraction or concealment; thus, demonstrating good surgical results. The prepuce was distributed naturally without obvious accumulation of redundant preputial tissue. The penile scar resembled that after circumcision. The postoperative follow-up period was 6 months, during which no patients developed recurrence. Conclusion The Brisson operation modified by a Y-shaped incision is effective for treating a concealed penis in adolescent patients. This technique may relieve the pathological abnormalities and retain the penile skin's integrity to the greatest extent with minimal scarring and a satisfactory appearance.

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“…The survey of parents' satisfaction refers to a Five Likert Scale. The survey consists of statements regarding penile size, morphology, voiding status and hygiene with the 5 grades for each item: 5, very satisfied; 4, satisfied; 3, average; 2, dissatisfied; 1, very dissatisfied ( 12 ).…”

Section: Methodsmentioning

confidence: 99%

A Modified Scrotoplasty for Treating Severe Penoscrotal Webbing in Children

Li¹,

Zhu²,

Feng³

et al. 2020

Front. Pediatr.

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To compare a novel modified W-incision scrotoplasty (MWS) operation method with the conventional V-Y scrotoplasty for treatment of severe penoscrotal webbing (PSW) in children a retrospective study was conducted on 26 children. Circumcision combined with modified scrotoplasty was used to repair the webbed penis and phimosis of children and another 32 patients undergoing V-Y scrotoplasty served as the control group. There was a statistically significant difference of angle improvements of penis and scrotum in a horizontal position (−66 ± 10; −57 ± 6, P < 0.001) and the parent satisfaction score (Five Likert Scale) (4.7 ± 0.56; 3.8 ± 0.47, P < 0.001) between the two groups. All 26 children who underwent MWS presented with no serious postoperative complications, and there was no significant difference in surgical complications compared to children treated with V-Y scrotoplasty.

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Effects of modified penoplasty for concealed penis in children

Abstract: The modified Shiraki phalloplasty for concealed penis can achieve maximum utilization of prepuce to assure coverage of the exposed penile shaft. It has fewer complications, achieving marked asthetics, and functional improvement. It is a relatively ideal means for treating concealed penis.

Cited by 8 publications

References 15 publications

Preliminary Study on the Application of Nanochitosan Film and Petrolatum Gauze in the Modified Devine Operation

Preliminary Study on the Application of Nanochitosan Film and Petrolatum Gauze in the Modified Devine Operation

Clinical effect of Brisson operation modified by Y-shaped incision for treatment of concealed penis in adolescents

A Modified Scrotoplasty for Treating Severe Penoscrotal Webbing in Children

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