Severe forms of concealed penis without hypospadias: Surgical strategies
Introduction: Concealed penis (CP) may vary in severity and includes megaprepuce (MP) as a variant. Many different surgical strategies have been described in order to maximize penile exposure and to deal with skin deficiency. We describe the strategies that we use to overcome technical problems in s...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2015-01-01
|
| Series: | Indian Journal of Urology |
| Subjects: | |
| Online Access: | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2015;volume=31;issue=4;spage=344;epage=348;aulast=Jesus |
| _version_ | 1819264139320623104 |
|---|---|
| author | Lisieux Eyer de Jesus Samuel Dekermacher Kleber M Anderson |
| author_facet | Lisieux Eyer de Jesus Samuel Dekermacher Kleber M Anderson |
| author_sort | Lisieux Eyer de Jesus |
| collection | DOAJ |
| description | Introduction: Concealed penis (CP) may vary in severity and includes megaprepuce (MP) as a variant. Many different surgical strategies have been described in order to maximize penile exposure and to deal with skin deficiency. We describe the strategies that we use to overcome technical problems in severe cases of CP.
Materials and Methods: Six consecutive cases of severe CP (including 3 with MP) were treated in a 2-year period between January 2011 and April 2013. These patients were treated using extensive degloving, removal of dysplastic dartos, Alexander's preputial flap, scrotal flaps and skin grafts. Three patients had been previously circumcised. Cases associated with hypospadias, obesity, disorders of sexual differentiation and micropenises were excluded.
Results: All six patients attained good results, with good exposure of the penis, ability to void standing with a well-directed flow and reasonable esthetic results. A technical algorithm for the treatment of primary or recurring cases of CP is proposed.
Conclusion: Alexander' s distally based ventral preputial flap is a useful technical resource to treat MP cases. Free skin grafts and/or laterally based scrotal flaps may be used to cover the penis after release in severe cases of CP. |
| first_indexed | 2024-12-23T20:24:44Z |
| format | Article |
| id | doaj.art-aadd4a47404b444fb210d1a7cbf79650 |
| institution | Directory Open Access Journal |
| issn | 0970-1591 1998-3824 |
| language | English |
| last_indexed | 2024-12-23T20:24:44Z |
| publishDate | 2015-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Urology |
| spelling | doaj.art-aadd4a47404b444fb210d1a7cbf796502022-12-21T17:32:26ZengWolters Kluwer Medknow PublicationsIndian Journal of Urology0970-15911998-38242015-01-0131434434810.4103/0970-1591.163308Severe forms of concealed penis without hypospadias: Surgical strategiesLisieux Eyer de JesusSamuel DekermacherKleber M AndersonIntroduction: Concealed penis (CP) may vary in severity and includes megaprepuce (MP) as a variant. Many different surgical strategies have been described in order to maximize penile exposure and to deal with skin deficiency. We describe the strategies that we use to overcome technical problems in severe cases of CP. Materials and Methods: Six consecutive cases of severe CP (including 3 with MP) were treated in a 2-year period between January 2011 and April 2013. These patients were treated using extensive degloving, removal of dysplastic dartos, Alexander's preputial flap, scrotal flaps and skin grafts. Three patients had been previously circumcised. Cases associated with hypospadias, obesity, disorders of sexual differentiation and micropenises were excluded. Results: All six patients attained good results, with good exposure of the penis, ability to void standing with a well-directed flow and reasonable esthetic results. A technical algorithm for the treatment of primary or recurring cases of CP is proposed. Conclusion: Alexander' s distally based ventral preputial flap is a useful technical resource to treat MP cases. Free skin grafts and/or laterally based scrotal flaps may be used to cover the penis after release in severe cases of CP.http://www.indianjurol.com/article.asp?issn=0970-1591;year=2015;volume=31;issue=4;spage=344;epage=348;aulast=JesusConcealed penismegaprepucetrapped penis |
| spellingShingle | Lisieux Eyer de Jesus Samuel Dekermacher Kleber M Anderson Severe forms of concealed penis without hypospadias: Surgical strategies Indian Journal of Urology Concealed penis megaprepuce trapped penis |
| title | Severe forms of concealed penis without hypospadias: Surgical strategies |
| title_full | Severe forms of concealed penis without hypospadias: Surgical strategies |
| title_fullStr | Severe forms of concealed penis without hypospadias: Surgical strategies |
| title_full_unstemmed | Severe forms of concealed penis without hypospadias: Surgical strategies |
| title_short | Severe forms of concealed penis without hypospadias: Surgical strategies |
| title_sort | severe forms of concealed penis without hypospadias surgical strategies |
| topic | Concealed penis megaprepuce trapped penis |
| url | http://www.indianjurol.com/article.asp?issn=0970-1591;year=2015;volume=31;issue=4;spage=344;epage=348;aulast=Jesus |
| work_keys_str_mv | AT lisieuxeyerdejesus severeformsofconcealedpeniswithouthypospadiassurgicalstrategies AT samueldekermacher severeformsofconcealedpeniswithouthypospadiassurgicalstrategies AT klebermanderson severeformsofconcealedpeniswithouthypospadiassurgicalstrategies |