title: A single surgeon's experience of 65 cases of penoplasty for congenital megaprepuce, with special reference to mid- to long-term follow-up.
abstract: OBJECTIVE
  There are few reports about postoperative outcome of penoplasty (PP). We present the results of mid- to long-term follow-up of PP performed for congenital megaprepuce (CMP).
  
  
  METHODS
  Data from 65 CMP cases treated by PP performed by a single surgeon from 2000 to 2014 were collected prospectively. All cases were treated using the technique reported by Cuckow (Pediatric surgery. Springer, Berlin, pp 543-554, 2006).
  
  
  RESULTS
  Mean age at PP was 5.9 years (range 0.4-13.9). All cases presented as infants and some 12 cases (18.5 %) had PP when 10 or more years old. There were no intra- and postoperative complications. Mean duration of follow-up was 3.6 years (range 0.1-17.5). Duration of follow-up was 4 years or less in 48 (73.8 %), 5-9 years in 13 (20.0 %), and 10 or more years in 4 (6.2 %). While postoperative penile cosmesis was good in 63/65 (96.9 %) cases without scrotal deformity, 2/65 (3.1 %) had redundant penile skin excised upon the recommendation of the treating surgeon even though the patients and parents were unconcerned.
  
  
  CONCLUSIONS
  Mid- to long-term follow-up of our PP cases shows that outcome is cosmetically acceptable and stable.
authors.affiliation: Department of Pediatric General and Urogenital Surgery, Juntendo University School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo, 113-8421, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Murakami
authors.forename: Yuta
authors.initials: Y
authors.lastname: Yazaki
authors.forename: Shogo
authors.initials: S
authors.lastname: Seo
authors.forename: Takanori
authors.initials: T
authors.lastname: Ochi
authors.forename: Manabu
authors.initials: M
authors.lastname: Okawada
authors.forename: Takashi
authors.initials: T
authors.lastname: Doi
authors.forename: Go
authors.initials: G
authors.lastname: Miyano
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Koga
authors.forename: Geoffrey J
authors.initials: GJ
authors.lastname: Lane
authors.forename: Takumi
authors.initials: T
authors.lastname: Ochiai
authors.forename: Atsuyuki
authors.initials: A
authors.lastname: Yamataka
mesh_terms: D002648:Child; D002675:Child, Preschool; D004954:Esthetics; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D010413:Penis / Q000002:abnormalities* / Q000601:surgery; D010688:Phimosis / Q000601:surgery*; D011446:Prospective Studies; D016896:Treatment Outcome; D013521:Urologic Surgical Procedures, Male / Q000379:methods