title: DOuble LOngitudinal Megapreputium Incision TEchnique: the DOLOMITE.
abstract: OBJECTIVE
  To present a straightforward, reproducible technique with the basic principle of preserving all available outer penile shaft skin and using this to cover the dorsal side of the penis. The DOuble LOngitudinal Megapreputium Incision TEchnique is presented in a step-by-step fashion.
  
  
  METHODS
  Six consecutive patients with a mean age of 13.3 months (range, 7-25) underwent this reconstruction between 2006 and 2011. The technique starts with 2 longitudinal incisions, the first on the ventral side, and the second on the dorsal side of the penis. After hinging the penile skin to the dorsal side, redundant inner preputial tissue is resected using diagonal incisions. Dartos is spared. A comparison with previously reported techniques and a concise review of existing literature are provided.
  
  
  RESULTS
  The final cosmetic results, after an initial period of edematous swelling of the ventral aspect of the penis, were good in all patients. The bilateral diagonal scars on the penile shaft became inconspicuous over time. Voiding normalized. No complications occurred.
  
  
  CONCLUSIONS
  The DOuble LOngitudinal Megapreputium Incision TEchnique provides a straightforward and reproducible surgical correction for congenital megaprepuce.
authors: Department of Urology, Paediatric Urology Section, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.
authors: Piet R H
authors: PR
authors: Callewaert
authors: Department of Urology, Paediatric Urology Section, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands. Electronic address: Sajjad_r@yahoo.com.
authors: Mohammad S
authors: MS
authors: Rahnama'i
authors: Department of Urology, Paediatric Urology Section, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.
authors: Maia N C
authors: MN
authors: Guimarães
authors: Department of Urology, Paediatric Urology Section, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.
authors: Daisy M J
authors: DM
authors: Vrijens
authors: Department of Urology, Paediatric Urology Section, Maastricht University Medical Center (MUMC+), Maastricht, The Netherlands.
authors: Philip E V A
authors: PE
authors: Van Kerrebroeck
mesh_terms: D002675:Child, Preschool; D052816:Foreskin / Q000002:abnormalities* / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D019651:Plastic Surgery Procedures / Q000379:methods; D013521:Urologic Surgical Procedures, Male / Q000379:methods