EFFECTIVENESS OF ADVANCED SKIN FLAP AND V-SHAPED VENTRAL INCISION ALONG THE ROOT OF PENILE SHAFT FOR CONCEALED PENIS_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

 LINJunshan , LIDumiao , ZHANGJianxing , WUQiang , XUYali , LINLi

Department of Pediatric Surgery, the First Affiliated Hospital of Fujian Medical University, Fuzhou Fujian, 350005, P. R. China;

Corresponding?author：

LINJunshan, Email: fyyy83357199@126.com

Keywords：

Concealed penis; Advanced skin flap; Plastic operation

DOI：

10.7507/1002-1892.20150243

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To investigate effectiveness of advanced skin flap and V-shaped ventral incision along the root of penile shaft for concealed penis in children. Methods Between July 2007 and January 2015, 121 boys with concealed penis were treated with advanced skin flap and V-shaped ventral incision along the root of penile shaft. The age varied from 18 months to 13 years (mean, 7.2 years). Repair was based on a vertical incision in median raphe, complete degloving of penis and tacking its base to the dermis of the skin. Advanced skin flap and a V-shaped ventral incision along the root of penile shaft were used to cover the penile shaft. Results The operation time ranged from 60 to 100 minutes (mean, 75 minutes). Disruption of wound occurred in 1 case, and was cured after dressing change; and primary healing of incision was obtained in the others. The follow-up period ranged from 3 months to 7 years (median, 24 months). All patients achieved good to excellent cosmetic results with a low incidence of complications. The results were satisfactory in exposure of penis and prepuce appearance. No obvious scar was observed. The penis had similar appearance to that after prepuce circumcision. Conclusion A combination of advanced skin flap and V-shaped ventral incision along the root of penile shaft is a simple, safe, and effective procedure for concealed penis with a similar appearance result to the prepuce circumcision.

Citation： LINJunshan, LIDumiao, ZHANGJianxing, WUQiang, XUYali, LINLi. EFFECTIVENESS OF ADVANCED SKIN FLAP AND V-SHAPED VENTRAL INCISION ALONG THE ROOT OF PENILE SHAFT FOR CONCEALED PENIS. Chinese Journal of Reparative and Reconstructive Surgery, 2015, 29(9): 1121-1123. doi: 10.7507/1002-1892.20150243 Copy

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2.	Li Z, Wei D, Guizhen H, et al. Pedicled skin flap of foreskin for phalloplasty in the management of completely concealed penis. J Pediatr Surg, 2012, 47(12):2289-2293.
3.	Lee T, Suh HJ, Han JU, et al. Correcting congenital concealed penis: new pedatric surgical technique. Urology, 2005, 65(4):789-792.
4.	Perger L, Hanley RS, Feins NR. Penoplasty for buried penis in infants and children; report of 100 cases. Pediatr Surg Int, 2009, 25(2):175-180.
5.	Chin T, Tsai H, Liu C, et al. Modifications of preputial unfurling to reduce postoperative edema in buried penis. J Pediatr Urol, 2005, 1(5):327-329.
6.	Abbas M, Liard A, Elbaz F, et al. Outcome of surgical management of concealed penis. J Pediatr Urol, 2007, 3(6):490-494.
7.	Sugita Y, Ueoka K, Tagkagi S, et al. A new technique of concealed penis repair. J Urol, 2009, 182(4 Suppl):1751-1754.
8.	Borsellino A, Spagnoli A, Vallasciani S, et al. Surgical approach to concealed penis:technical refinements and outcome. Urology, 2007, 69(6):1195-1198.
9.	Hadidi AT. Buried penis:classification surgical approach. J Pediatr Surg, 2014, 49(2):374-379.
10.	Radhakrishnan J, Razzaq A, Manickam K. Concealed penis. Pediatr Surg Int, 2002, 18(8):668-672.
11.	Yang T, Zhang L, Su C, et al. Modified penoplasty for concealed penis in children. Urology, 2013, 82(3):697-700.
12.	Alexander A, Lorenzo AJ, Salle JL, et al. The Ventral V-plasty: a simple procedure for the reconstruction of a congenital megaprepuce. J Pediatr Surg, 2010, 45(8):1741-1747.

1. Alan J, Wein Louis R, Kavoussi Andrew C, et al. 坎貝爾-沃爾什泌尿外科學. 郭應祿, 周利群, 譯. 北京:北京大學醫學出版社, 2009: 3944.
2. Li Z, Wei D, Guizhen H, et al. Pedicled skin flap of foreskin for phalloplasty in the management of completely concealed penis. J Pediatr Surg, 2012, 47(12):2289-2293.
3. Lee T, Suh HJ, Han JU, et al. Correcting congenital concealed penis: new pedatric surgical technique. Urology, 2005, 65(4):789-792.
4. Perger L, Hanley RS, Feins NR. Penoplasty for buried penis in infants and children; report of 100 cases. Pediatr Surg Int, 2009, 25(2):175-180.
5. Chin T, Tsai H, Liu C, et al. Modifications of preputial unfurling to reduce postoperative edema in buried penis. J Pediatr Urol, 2005, 1(5):327-329.
6. Abbas M, Liard A, Elbaz F, et al. Outcome of surgical management of concealed penis. J Pediatr Urol, 2007, 3(6):490-494.
7. Sugita Y, Ueoka K, Tagkagi S, et al. A new technique of concealed penis repair. J Urol, 2009, 182(4 Suppl):1751-1754.
8. Borsellino A, Spagnoli A, Vallasciani S, et al. Surgical approach to concealed penis:technical refinements and outcome. Urology, 2007, 69(6):1195-1198.
9. Hadidi AT. Buried penis:classification surgical approach. J Pediatr Surg, 2014, 49(2):374-379.
10. Radhakrishnan J, Razzaq A, Manickam K. Concealed penis. Pediatr Surg Int, 2002, 18(8):668-672.
11. Yang T, Zhang L, Su C, et al. Modified penoplasty for concealed penis in children. Urology, 2013, 82(3):697-700.
12. Alexander A, Lorenzo AJ, Salle JL, et al. The Ventral V-plasty: a simple procedure for the reconstruction of a congenital megaprepuce. J Pediatr Surg, 2010, 45(8):1741-1747.

Chinese Journal of Reparative and Reconstructive Surgery

EFFECTIVENESS OF ADVANCED SKIN FLAP AND V-SHAPED VENTRAL INCISION ALONG THE ROOT OF PENILE SHAFT FOR CONCEALED PENIS

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