title: [Penoplasty with scrotal flap for the treatment of buried penis in children].
abstract: OBJECTIVE
  To investigate the therapeutic effect of penoplasty with scrotal skin flap for the treatment of buried penis in children.
  
  
  METHODS
  The narrow ring was cut vertically at the ventral side of penis and the prepuce inner plate was circularly cut 0.5 cm from the coronary sulcus. The prepuce was degloved to the base of penis. The abnormal aponeurosis was removed completely. The prepuce was designed to cover the coronary sulcus. The scrotal flaps at both sides were formed and advanced to cover the penile base. Then the prepuce was sutured to reconstruct penile-scrotal angle and scrotum plasty was completed.
  
  
  RESULTS
  From March 2009 to July 2011, 24 children with buried penis were treated with scrotal flaps. Adhesion at external orifice of urethra was happened in two cases which recovered after urethra expansion. There was one case of necrosis at the distal end of prepuce. All the cases were followed up for 6 months to 2 years with no penile shrinkage. The penile appearance was good without rotation or lateral curvature during erection.
  
  
  CONCLUSIONS
  The buried penis can be best corrected with scrotal flap. It is an ideal method with less complication.
authors.affiliation: Department of Urology, Tongji Hospital of Tongji University, Shanghai 200065, China.
authors.forename: Sheng-Song
authors.initials: SS
authors.lastname: Huang
authors.forename: Deng-Long
authors.initials: DL
authors.lastname: Wu
authors.forename: Tao
authors.initials: T
authors.lastname: Yuan
authors.forename: Qi-Quan
authors.initials: QQ
authors.lastname: Jiang
authors.forename: Fang
authors.initials: F
authors.lastname: Chen
authors.forename: Hua
authors.initials: H
authors.lastname: Xie
mesh_terms: D002648:Child; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D008297:Male; D010413:Penis / Q000002:abnormalities* / Q000601:surgery; D012611:Scrotum / Q000601:surgery*; D013524:Surgical Flaps; D016896:Treatment Outcome