A simplified preputial covering technique to correct buried penis.
OBJECTIVE
We report on refinements of a technique for preputial covering to prevent complications of redundant prepuce, possibly caused by inadequate surgery for buried penis.


METHODS
From July 2006 to July 2008, 20 consecutive patients (mean age 4.3 years) underwent surgery for buried penis. The surgical techniques consisted of complete unfurling of the penile shaft, fixation of the penile base skin to Buck's fascia and 1 pedicle flap for skin coverage. Our method for preputial covering is novel in that we create a unique 1-flap covering for the ventral skin defect. Patients were monitored postoperatively at 2 weeks, 1 month and 3 months.


RESULTS
All patients had good or excellent outcomes, with fewer postoperative complications. Two patients developed subcutaneous hematomas that resolved in 2 weeks with conservative treatment. The mean increase in length of penile projection after surgery was 1.7 cm, a statistically significant difference. All patients had good cosmetic results, with increased visualization of the penile shaft.


CONCLUSIONS
The preputial covering technique we devised avoided postoperative bulky prepuce caused by residual redundant prepuce. Repeat surgery was also unnecessary for our patients. Furthermore, parents judged the cosmetic results as excellent.
Wang
Ta-Min
TM
Division of Urology, Department of Surgery, Chang Gung Memorial Hospital, Chang Gung University, No 5, Fu-Sing St. Gueishan Township, Taoyuan County 333, Taiwan. tmwang@cgmh.org.tw
Chen
Hsiao-Wen
HW
Chiang
Yang-Jen
YJ
Chu
Sheng-Hsien
SH
Liu
Kuan-Lin
KL
Wang
Hsu-Han
HH
D002648:Child; D002675:Child, Preschool; D052816:Foreskin / Q000601:surgery; D006406:Hematoma / Q000209:etiology; D006801:Humans; D007223:Infant; D008297:Male; D010413:Penis / Q000601:surgery*; D011183:Postoperative Complications; D013524:Surgical Flaps; D013514:Surgical Procedures, Operative; D013997:Time Factors