Minimally invasive technique for the concealed penis lead to longer penile length.
OBJECTIVE
The aim of this study is to report a simple and minimally invasive surgical technique for congenital concealed penis repair.


METHODS
Described technique includes two approaches based on common principle, which could be selected according to the degree of penis buried. Through the minimally invasive incision at the base of penis, the repair is performed combination of tacking penile base to prepubic fascia and anchoring subcutaneous penile skin to base of penile shaft. The outcome of the operation is evaluated by improvement of penile length and satisfaction of penile appearance.


RESULTS
A statistically significant difference of the penile length between preoperative and postoperative was 2.6 cm for procedure I, and 2.7 cm for procedure II (P < 0.001). There were 58 parents (93.5%) satisfied with the result. No serious intraoperative or perioperative complications. Edema and swelling on the penis are common, but improves with time. All patients are followed for at least 5 months, no retractions occur in any case.


CONCLUSIONS
The described technique is simple and minimally invasive. Excellent cosmetic results are achieved with low complication rate and high parent satisfaction. In our experience, there were no additional procedures required to perform deglove or reorganization of the penile skin.
Yu
Weimin
W
Department of Urology, Renmin Hospital of Wuhan University, 430060, Wuhan, Hubei Province, China.
Cheng
Fan
F
Zhang
Xiaobin
X
Ruan
Yuan
Y
Yang
Sixing
S
Xia
Yue
Y
D001837:Body Weights and Measures; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D010409:Penile Diseases / Q000151:congenital / Q000601:surgery*; D010413:Penis / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods*