title: [EFFECTIVENESS OF ADVANCED SKIN FLAP AND V-SHAPED VENTRAL INCISION ALONG THE ROOT OF PENILE SHAFT FOR CONCEALED PENIS].
abstract: OBJECTIVE
  To investigate effectiveness of advanced skin flap and V-shaped ventral incision along the root of penile shaft for concealed penis in children.
  
  
  METHODS
  Between July 2007 and January 2015, 121 boys with concealed penis were treated with advanced skin flap and V-shaped ventral incision along the root of penile shaft. The age varied from 18 months to 13 years (mean, 7.2 years). Repair was based on a vertical incision in median raphe, complete degloving of penis and tacking its base to the dermis of the skin. Advanced skin flap and a V-shaped ventral incision along the root of penile shaft were used to cover the penile shaft.
  
  
  RESULTS
  The operation time ranged from 60 to 100 minutes (mean, 75 minutes). Disruption of wound occurred in 1 case, and was cured after dressing change; and primary healing of incision was obtained in the others. The follow-up period ranged from 3 months to 7 years (median, 24 months). All patients achieved good to excellent cosmetic results with a low incidence of complications. The results were satisfactory in exposure of penis and prepuce appearance. No obvious scar was observed. The penis had similar appearance to that after prepuce circumcision.
  
  
  CONCLUSIONS
  A combination of advanced skin flap and V-shaped ventral incision along the root of penile shaft is a simple, safe, and effective procedure for concealed penis with a similar appearance result to the prepuce circumcision.
authors.forename: Junshan
authors.initials: J
authors.lastname: Lin
authors.forename: Dumiao
authors.initials: D
authors.lastname: Li
authors.forename: Jianxing
authors.initials: J
authors.lastname: Zhang
authors.forename: Qiang
authors.initials: Q
authors.lastname: Wu
authors.forename: Yali
authors.initials: Y
authors.lastname: Xu
authors.forename: Li
authors.initials: L
authors.lastname: Lin
mesh_terms: D002648:Child; D002921:Cicatrix; D020878:Device Removal; D052816:Foreskin / Q000601:surgery*; D006801:Humans; D008297:Male; D061646:Operative Time; D010413:Penis / Q000002:abnormalities / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D012092:Replantation; D017695:Soft Tissue Injuries; D013524:Surgical Flaps / Q000098:blood supply*; D013530:Surgical Wound Infection; D013521:Urologic Surgical Procedures, Male / Q000379:methods*