LymphedemaV1, Main, Curation, bibRecord, 002215

A new surgical technique for concealed penis using an advanced musculocutaneous scrotal flap

Identifieur interne : 002215 ( Main/Curation ); précédent : 002214; suivant : 002216

A new surgical technique for concealed penis using an advanced musculocutaneous scrotal flap

Auteurs : Dong-Seok Han ; Hoon Jang ; Chang-Shik Youn ; Seung-Mo Yuk

Source :

BMC Urology [ 1471-2490 ] ; 2015.

RBID : PMC:4471909

Descripteurs français

KwdFr :
- Adolescent, Adulte, Enfant, Humains, Jeune adulte, Lambeau musculo-cutané (), Lambeau musculo-cutané (transplantation), Malformations urogénitales (), Malformations urogénitales (diagnostic), Mâle, Procédures de chirurgie reconstructive (), Procédures de chirurgie urologique masculine (), Prépuce (), Prépuce (malformations), Pénis (), Pénis (malformations), Résultat thérapeutique, Scrotum (), Scrotum (transplantation), Survie du greffon, Études de cohortes, Études de suivi, Études rétrospectives.
MESH :
- diagnostic : Malformations urogénitales.
- malformations : Prépuce, Pénis.
- Adolescent, Adulte, Enfant, Humains, Jeune adulte, Lambeau musculo-cutané, Malformations urogénitales, Mâle, Procédures de chirurgie reconstructive, Procédures de chirurgie urologique masculine, Prépuce, Pénis, Résultat thérapeutique, Scrotum, Survie du greffon, Études de cohortes, Études de suivi, Études rétrospectives.

English descriptors

KwdEn :
- Adolescent, Adult, Child, Cohort Studies, Follow-Up Studies, Foreskin (abnormalities), Foreskin (surgery), Graft Survival, Humans, Male, Myocutaneous Flap (blood supply), Myocutaneous Flap (transplantation), Penis (abnormalities), Penis (surgery), Reconstructive Surgical Procedures (methods), Retrospective Studies, Scrotum (surgery), Scrotum (transplantation), Treatment Outcome, Urogenital Abnormalities (diagnosis), Urogenital Abnormalities (surgery), Urologic Surgical Procedures, Male (methods), Young Adult.
MESH :
- abnormalities : Foreskin, Penis.
- blood supply : Myocutaneous Flap.
- diagnosis : Urogenital Abnormalities.
- methods : Reconstructive Surgical Procedures, Urologic Surgical Procedures, Male.
- surgery : Foreskin, Penis, Scrotum, Urogenital Abnormalities.
- transplantation : Myocutaneous Flap, Scrotum.
- Adolescent, Adult, Child, Cohort Studies, Follow-Up Studies, Graft Survival, Humans, Male, Retrospective Studies, Treatment Outcome, Young Adult.

Abstract

Background

Until recently, no single, universally accepted surgical method has existed for all types of concealed penis repairs. We describe a new surgical technique for repairing concealed penis by using an advanced musculocutaneous scrotal flap.

Methods

From January 2010 to June 2014, we evaluated 12 patients (12–40 years old) with concealed penises who were surgically treated with an advanced musculocutaneous scrotal flap technique after degloving through a ventral approach. All the patients were scheduled for regular follow-up at 6, 12, and 24 weeks postoperatively. The satisfaction grade for penile size, morphology, and voiding status were evaluated using a questionnaire preoperatively and at all of the follow-ups. Information regarding complications was obtained during the postoperative hospital stay and at all follow-ups.

Results

The patients’ satisfaction grades, which included the penile size, morphology, and voiding status, improved postoperatively compared to those preoperatively. All patients had penile lymphedema postoperatively; however, this disappeared within 6 weeks. There were no complications such as skin necrosis and contracture, voiding difficulty, or erectile dysfunction.

Conclusions

Our advanced musculocutaneous scrotal flap technique for concealed penis repair is technically easy and safe. In addition, it provides a good cosmetic appearance, functional outcomes and excellent postoperative satisfaction grades. Lastly, it seems applicable in any type of concealed penis, including cases in which the ventral skin defect is difficult to cover.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4471909

DOI: 10.1186/s12894-015-0044-3
PubMed: 26088081
PubMed Central: 4471909

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Dong-Seok Han

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Hoon Jang

<affiliation><nlm:aff id="Aff1">The Catholic University of Korea, Daejeon Saint Mary’s Hospital, 64, Daeheung-ro, Jung-gu, Daejeon 301-723 Republic of Korea</nlm:aff>
<wicri:noCountry code="subfield">Daejeon 301-723 Republic of Korea</wicri:noCountry>
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Chang-Shik Youn

<affiliation><nlm:aff id="Aff1">The Catholic University of Korea, Daejeon Saint Mary’s Hospital, 64, Daeheung-ro, Jung-gu, Daejeon 301-723 Republic of Korea</nlm:aff>
<wicri:noCountry code="subfield">Daejeon 301-723 Republic of Korea</wicri:noCountry>
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Seung-Mo Yuk

<affiliation><nlm:aff id="Aff1">The Catholic University of Korea, Daejeon Saint Mary’s Hospital, 64, Daeheung-ro, Jung-gu, Daejeon 301-723 Republic of Korea</nlm:aff>
<wicri:noCountry code="subfield">Daejeon 301-723 Republic of Korea</wicri:noCountry>
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<author><name sortKey="Han, Dong Seok" sort="Han, Dong Seok" uniqKey="Han D" first="Dong-Seok" last="Han">Dong-Seok Han</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Child</term>
<term>Cohort Studies</term>
<term>Follow-Up Studies</term>
<term>Foreskin (abnormalities)</term>
<term>Foreskin (surgery)</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Male</term>
<term>Myocutaneous Flap (blood supply)</term>
<term>Myocutaneous Flap (transplantation)</term>
<term>Penis (abnormalities)</term>
<term>Penis (surgery)</term>
<term>Reconstructive Surgical Procedures (methods)</term>
<term>Retrospective Studies</term>
<term>Scrotum (surgery)</term>
<term>Scrotum (transplantation)</term>
<term>Treatment Outcome</term>
<term>Urogenital Abnormalities (diagnosis)</term>
<term>Urogenital Abnormalities (surgery)</term>
<term>Urologic Surgical Procedures, Male (methods)</term>
<term>Young Adult</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Enfant</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Lambeau musculo-cutané ()</term>
<term>Lambeau musculo-cutané (transplantation)</term>
<term>Malformations urogénitales ()</term>
<term>Malformations urogénitales (diagnostic)</term>
<term>Mâle</term>
<term>Procédures de chirurgie reconstructive ()</term>
<term>Procédures de chirurgie urologique masculine ()</term>
<term>Prépuce ()</term>
<term>Prépuce (malformations)</term>
<term>Pénis ()</term>
<term>Pénis (malformations)</term>
<term>Résultat thérapeutique</term>
<term>Scrotum ()</term>
<term>Scrotum (transplantation)</term>
<term>Survie du greffon</term>
<term>Études de cohortes</term>
<term>Études de suivi</term>
<term>Études rétrospectives</term>
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<keywords scheme="MESH" qualifier="abnormalities" xml:lang="en"><term>Foreskin</term>
<term>Penis</term>
</keywords>
<keywords scheme="MESH" qualifier="blood supply" xml:lang="en"><term>Myocutaneous Flap</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Urogenital Abnormalities</term>
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<keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Malformations urogénitales</term>
</keywords>
<keywords scheme="MESH" qualifier="malformations" xml:lang="fr"><term>Prépuce</term>
<term>Pénis</term>
</keywords>
<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Reconstructive Surgical Procedures</term>
<term>Urologic Surgical Procedures, Male</term>
</keywords>
<keywords scheme="MESH" qualifier="surgery" xml:lang="en"><term>Foreskin</term>
<term>Penis</term>
<term>Scrotum</term>
<term>Urogenital Abnormalities</term>
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<keywords scheme="MESH" qualifier="transplantation" xml:lang="en"><term>Myocutaneous Flap</term>
<term>Scrotum</term>
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<keywords scheme="MESH" xml:lang="en"><term>Adolescent</term>
<term>Adult</term>
<term>Child</term>
<term>Cohort Studies</term>
<term>Follow-Up Studies</term>
<term>Graft Survival</term>
<term>Humans</term>
<term>Male</term>
<term>Retrospective Studies</term>
<term>Treatment Outcome</term>
<term>Young Adult</term>
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<keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term>
<term>Adulte</term>
<term>Enfant</term>
<term>Humains</term>
<term>Jeune adulte</term>
<term>Lambeau musculo-cutané</term>
<term>Malformations urogénitales</term>
<term>Mâle</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Procédures de chirurgie urologique masculine</term>
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<term>Survie du greffon</term>
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<front><div type="abstract" xml:lang="en"><sec><title>Background</title>
<p>Until recently, no single, universally accepted surgical method has existed for all types of concealed penis repairs. We describe a new surgical technique for repairing concealed penis by using an advanced musculocutaneous scrotal flap.</p>
</sec>
<sec><title>Methods</title>
<p>From January 2010 to June 2014, we evaluated 12 patients (12–40 years old) with concealed penises who were surgically treated with an advanced musculocutaneous scrotal flap technique after degloving through a ventral approach. All the patients were scheduled for regular follow-up at 6, 12, and 24 weeks postoperatively. The satisfaction grade for penile size, morphology, and voiding status were evaluated using a questionnaire preoperatively and at all of the follow-ups. Information regarding complications was obtained during the postoperative hospital stay and at all follow-ups.</p>
</sec>
<sec><title>Results</title>
<p>The patients’ satisfaction grades, which included the penile size, morphology, and voiding status, improved postoperatively compared to those preoperatively. All patients had penile lymphedema postoperatively; however, this disappeared within 6 weeks. There were no complications such as skin necrosis and contracture, voiding difficulty, or erectile dysfunction.</p>
</sec>
<sec><title>Conclusions</title>
<p>Our advanced musculocutaneous scrotal flap technique for concealed penis repair is technically easy and safe. In addition, it provides a good cosmetic appearance, functional outcomes and excellent postoperative satisfaction grades. Lastly, it seems applicable in any type of concealed penis, including cases in which the ventral skin defect is difficult to cover.</p>
</sec>
</div>
</front>
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       | HfdSelect -Kh $EXPLOR_AREA/Data/Main/Curation/biblio.hfd   \
       | NlmPubMed2Wicri -a LymphedemaV1

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	Serveur d'exploration sur le lymphœdème
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Serveur d'exploration sur le lymphœdème

A new surgical technique for concealed penis using an advanced musculocutaneous scrotal flap

A new surgical technique for concealed penis using an advanced musculocutaneous scrotal flap

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