The "V-I penoscrotal reconfiguration": A simple technique for the surgical treatment of congenital webbed penis

被引:1
作者
Bagnara, Vincenzo [1 ]
Dona, Annadiletta [2 ]
Berrettini, Alfredo [3 ]
Castagnetti, Marco [4 ]
Paraboschi, Irene [3 ]
Messina, Mario [5 ]
Sheridah, Yasmin [5 ]
Nascimben, Francesca [5 ]
Angotti, Rossella [5 ]
机构
[1] Policlin GB Morgagni, Dept Pediat Surg, Catania, Italy
[2] Policlin San Marco Hosp, Dept Pediat Surg, Catania, Italy
[3] Fdn IRCCS Ca Granda Osped Maggiore Policlin, Dept Pediat Urol, Milan, Italy
[4] Bambino Gesu Children Hosp & Res Ctr, Dept Pediat Urol, Rome, Italy
[5] Univ Hosp Siena, Dept Med Surg & Neurosci, Pediat Surg, Siena, Italy
关键词
children; congenital webbed penis; reconstructive surgery; V-I penoscrotal reconfiguration; BURIED PENIS;
D O I
10.1111/iju.15476
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objectives: To describe a new penoscrotal reconfiguration technique, named "V-I penoscrotal reconfiguration" for the surgical reconstruction of a congenital webbed penis (CWP). Methods: Twenty-one patients who underwent the "V-I penoscrotal reconfiguration technique" were included in this retrospective study. The CWP severity was assessed according to El-Koutby's classification. Demographic and clinical data, surgical data, and postoperative outcomes were scheduled and analyzed. Specifically, the postoperative follow-up included both physical and psychological assessments at 2 weeks, 1, 6, and 12 months after surgery. Parents' satisfaction degree was quantified by the Likert scale. Results: CWP was grade 3 in 11 (52%) patients, 2 in five (24%), and 1 (24%) in five. Five (24%) CWP were isolated malformations, 11 (52%) were associated with phimosis, three (14%) with hypospadias, and two (10%) with hypospadias and phimosis. There were no postoperative complications and no cases of redo surgery. The cosmetic outcomes were excellent in all cases: the parents' satisfaction score was 4 in 17 (81%) cases and 3 (9%) in the other four cases. Conclusions: CWP may cause psychological distress and functional problems, especially during sexual intercourse. Its correction in childhood is advocated to prevent psychological and sexual issues. The "V-I reconfiguration technique" is simple, and easy with excellent cosmetic and functional outcomes.
引用
收藏
页码:886 / 890
页数:5
相关论文
共 17 条
  • [1] Distal hypospadias repair using the needle point bipolar cutting-coagulation forceps
    Bagnara, V
    Giammusso, B.
    Castagnetti, M.
    Esposito, C.
    Bianchi, A.
    [J]. JOURNAL OF PEDIATRIC UROLOGY, 2020, 16 (01) : 69.e1 - 69.e5
  • [2] BYARS LT, 1955, SURG GYNECOL OBSTET, V100, P184
  • [3] Correcting penoscrotal web with the V-Y advancement technique
    Chang, Shang-Jen
    Liu, Shih-Ping
    Hsieh, Ju-Ton
    [J]. JOURNAL OF SEXUAL MEDICINE, 2008, 5 (01) : 249 - 250
  • [4] Webbed penis: Etiology, symptoms, surgical treatments, and outcomes
    Chao, Tze-Chen
    Yang, Stephen Shei-Dei
    Chang, Shang-Jen
    Lin, Chia-Da
    [J]. UROLOGICAL SCIENCE, 2020, 31 (05) : 200 - 205
  • [5] Webbed penis
    Dilley, AV
    Currie, BG
    [J]. PEDIATRIC SURGERY INTERNATIONAL, 1999, 15 (5-6) : 447 - 448
  • [6] El-Koutby Montasser, 2010, J Indian Assoc Pediatr Surg, V15, P50, DOI 10.4103/0971-9261.70637
  • [7] ADULT CONGENITAL PENILE DEFORMITY - CASE REPORT
    GLANZ, S
    [J]. PLASTIC AND RECONSTRUCTIVE SURGERY, 1968, 41 (06) : 579 - &
  • [8] A Novel Technique of Concealed Penis Repair
    Kim, Jung Jun
    Lee, Dong-Gi
    Park, Kwan Hyun
    Baek, Minki
    [J]. EUROPEAN JOURNAL OF PEDIATRIC SURGERY, 2014, 24 (02) : 158 - 162
  • [9] A Modified Scrotoplasty for Treating Severe Penoscrotal Webbing in Children
    Li, Yuan
    Zhu, Xiaoyu
    Feng, Dongchuan
    Gong, Jinchao
    Sun, Guangyao
    Zhang, Xilun
    Hu, Dianhe
    Sha, Suoyou
    Han, Tao
    [J]. FRONTIERS IN PEDIATRICS, 2020, 8
  • [10] Ventral Longitudinal Stricturotomy and Transversal Closure: the Heineke-Mikulicz Principle in Urethroplasty
    Lumen, Nicolaas
    Hoebeke, Piet
    Oosterlinck, Willem
    [J]. UROLOGY, 2010, 76 (06) : 1478 - 1482