title: [Clinical experience of penile elongation: a comparison of four different operative approaches].
abstract: OBJECTIVE
  To investigate the curative effect of penile elongation with four differentoperative approaches.
  
  
  METHODS
  Through four different operative approaches (the coronary sulcus ringincision, Y or Z shaped incision or Z shaped incision combined with coronary sulcus ring incision), thepenile skin and fascia were degloved until the penile root. Then the superficial and deep dorsal penilesuspensory ligament were cut off. After electric coagulation of the residue ends, the two-side tissue at thefront of the pubic symphysis was sutured. Then the penile skin and fascia were repositioned and the incisionat the inner and outer plate was closed.
  
  
  RESULTS
  The increased penile static length was (2.9 ± 0.2) cmwith abdominal wall Y incision (12 cases); (3.1 ± 0.3) cm with transabdominal modified Z incision (260 cases); (3.9 ± 0.7) cm with coronary sulcus ring incision (363 cases); (3.4 ± 0.8) cm with combined incision (39 cases). The lengthening effect was significantly different between the coronary ring incision and abdominal wall Y/Z incision (P < 0.05). The postoperative follow-up period was 6 months to 5.5 years without serious complications. Only 3 cases of subcutaneous hematoma occurred with treatment of debridement and drainage. 4 cases with ischemic necrosis at distal penile skin, were treated with debridement, dressing and physiotherapy, leaving no scar.
  
  
  CONCLUSIONS
  Penile lengthening surgery are safe and effective through different approaches. The coronal ring incision has the best therapeutic effect.
authors.forename: Song
authors.initials: S
authors.lastname: Yongsheng
authors.forename: Yu
authors.initials: Y
authors.lastname: Qingping
authors.forename: Jiang
authors.initials: J
authors.lastname: Yiyang
authors.forename: He
authors.initials: H
authors.lastname: Wenyou
authors.forename: Li
authors.initials: L
authors.lastname: Jigen
authors.forename: He
authors.initials: H
authors.lastname: Xiaohai
authors.forename: He
authors.initials: H
authors.lastname: Jintao
authors.forename: Zhou
authors.initials: Z
authors.lastname: Yidong
authors.forename: Wang
authors.initials: W
authors.lastname: Hanfeng
authors.forename: Zhou
authors.initials: Z
authors.lastname: Xiaowei
authors.forename: Wang
authors.initials: W
authors.lastname: Zuan
mesh_terms: D001458:Bandages; D003646:Debridement; D004322:Drainage; D004564:Electrocoagulation; D000071938:Fasciotomy; D005500:Follow-Up Studies; D006801:Humans; D008022:Ligaments / Q000601:surgery; D008297:Male; D009336:Necrosis / Q000601:surgery; D009929:Organ Size; D010413:Penis / Q000033:anatomy & histology / Q000473:pathology / Q000601:surgery*; D011184:Postoperative Period; D019651:Plastic Surgery Procedures / Q000379:methods*; D012867:Skin; D013997:Time Factors