Preputial flaps to correct buried penis.
The authors developed a preputial skin flap technique to correct the buried penis which was simple and practical. This simple procedure can be applied to most boys with buried penis. In the last 3 years, we have seen 12 boys with buried penis and have been treated by using preputial flaps. The mean age is about 5.1 (from 3 to 12). By making a longitudinal incision on the ventral side of penis, the tightness of the foreskin is released and leave a diamond-shaped skin defect. It allows the penile shaft to extend out. A circumferential incision is made about 5 mm proximal to the coronal sulcus. Pedicled preputial flaps are obtained leaving optimal penile skin on the dorsal side. The preputial skin flaps are rotated onto the ventral side and tailored to cover the defect. All patients are followed for at least 3 months. Edema and swelling on the flaps are common, but improves with time. None of our patients need a second operation. The preputial flaps technique is a simple technique which allows surgeons to deal with most cases of buried penis by tailoring the flaps providing good cosmetic and functional results.
Chu
Chih-Chun
CC
Division of Pediatric Surgery, Tri-Service General Hospital, National Defense Medical Center, No: 325, Sec2, Cheng-Kung Road, Taipei, Taiwan, ROC. chu218@yahoo.com.tw
Chen
Yi-Hsin
YH
Diau
Guan-Yeu
GY
Loh
Ih-Wei
IW
Chen
Ke-Chi
KC
D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D052816:Foreskin / Q000601:surgery*; D006801:Humans; D008297:Male; D010409:Penile Diseases / Q000151:congenital / Q000601:surgery*; D010413:Penis / Q000002:abnormalities* / Q000601:surgery; D012189:Retrospective Studies; D013524:Surgical Flaps; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods*