A new surgical technique for concealed penis using an advanced musculocutaneous scrotal flap
Identifieur interne : 001562 ( Pmc/Checkpoint ); précédent : 001561; suivant : 001563A new surgical technique for concealed penis using an advanced musculocutaneous scrotal flap
Auteurs : Dong-Seok Han ; Hoon Jang ; Chang-Shik Youn ; Seung-Mo YukSource :
- BMC Urology [ 1471-2490 ] ; 2015.
Abstract
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.
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.
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.
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:
DOI: 10.1186/s12894-015-0044-3
PubMed: 26088081
PubMed Central: 4471909
Affiliations:
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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><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Maizels, M" uniqKey="Maizels M">M Maizels</name></author><author><name sortKey="Zaontz, M" uniqKey="Zaontz M">M Zaontz</name></author><author><name sortKey="Donovan, J" uniqKey="Donovan J">J Donovan</name></author><author><name sortKey="Bushnick, Pn" uniqKey="Bushnick P">PN Bushnick</name></author><author><name sortKey="Firlit, Cf" uniqKey="Firlit C">CF Firlit</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sugita, Y" uniqKey="Sugita Y">Y Sugita</name></author><author><name sortKey="Ueoka, K" uniqKey="Ueoka K">K Ueoka</name></author><author><name sortKey="Tagkagi, S" uniqKey="Tagkagi S">S Tagkagi</name></author><author><name sortKey="Hisamatsu, E" uniqKey="Hisamatsu E">E Hisamatsu</name></author><author><name sortKey="Yoshino, K" uniqKey="Yoshino K">K Yoshino</name></author><author><name sortKey="Tanikaze, S" uniqKey="Tanikaze S">S Tanikaze</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Kim, Jj" uniqKey="Kim J">JJ Kim</name></author><author><name sortKey="Lee, Dg" uniqKey="Lee D">DG Lee</name></author><author><name sortKey="Park, Kh" uniqKey="Park K">KH Park</name></author><author><name sortKey="Baek, M" uniqKey="Baek M">M Baek</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Herndon, Cd" uniqKey="Herndon C">CD Herndon</name></author><author><name sortKey="Casale, Aj" uniqKey="Casale A">AJ Casale</name></author><author><name sortKey="Cain, Mp" uniqKey="Cain M">MP Cain</name></author><author><name sortKey="Rink, Rc" uniqKey="Rink R">RC Rink</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Srinivasan, Ak" uniqKey="Srinivasan A">AK Srinivasan</name></author><author><name sortKey="Palmer, Ls" uniqKey="Palmer L">LS Palmer</name></author><author><name sortKey="Palmer, Js" uniqKey="Palmer J">JS Palmer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wollin, M" uniqKey="Wollin M">M Wollin</name></author><author><name sortKey="Duffy, Pg" uniqKey="Duffy P">PG Duffy</name></author><author><name sortKey="Malone, Ps" uniqKey="Malone P">PS Malone</name></author><author><name sortKey="Ransley, Pg" uniqKey="Ransley P">PG Ransley</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Robert, B" uniqKey="Robert B">B Robert</name></author><author><name sortKey="Richard, R" uniqKey="Richard R">R Richard</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Smith, Dr" uniqKey="Smith D">DR Smith</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Robinson, Dw" uniqKey="Robinson D">DW Robinson</name></author><author><name sortKey="Stephenson, Kl" uniqKey="Stephenson K">KL Stephenson</name></author><author><name sortKey="Padgett, Ec" uniqKey="Padgett E">EC Padgett</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Horton, Ce" uniqKey="Horton C">CE Horton</name></author><author><name sortKey="Mccraw, Jb" uniqKey="Mccraw J">JB McCraw</name></author><author><name sortKey="Devine, Cj" uniqKey="Devine C">CJ Devine</name></author><author><name sortKey="Devine, Pc" uniqKey="Devine P">PC Devine</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Horton Ce, Ki" uniqKey="Horton Ce K">KI Horton CE</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Donahoe, Pk" uniqKey="Donahoe P">PK Donahoe</name></author><author><name sortKey="Keating, Ma" uniqKey="Keating M">MA Keating</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, T" uniqKey="Lee T">T Lee</name></author><author><name sortKey="Suh, Hj" uniqKey="Suh H">HJ Suh</name></author><author><name sortKey="Han, Ju" uniqKey="Han J">JU Han</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Frenkl, Tl" uniqKey="Frenkl T">TL Frenkl</name></author><author><name sortKey="Agarwal, S" uniqKey="Agarwal S">S Agarwal</name></author><author><name sortKey="Caldamone, Aa" uniqKey="Caldamone A">AA Caldamone</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Borsellino, A" uniqKey="Borsellino A">A Borsellino</name></author><author><name sortKey="Spagnoli, A" uniqKey="Spagnoli A">A Spagnoli</name></author><author><name sortKey="Vallasciani, S" uniqKey="Vallasciani S">S Vallasciani</name></author><author><name sortKey="Martini, L" uniqKey="Martini L">L Martini</name></author><author><name sortKey="Ferro, F" uniqKey="Ferro F">F Ferro</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">BMC Urol</journal-id><journal-id journal-id-type="iso-abbrev">BMC Urol</journal-id><journal-title-group><journal-title>BMC Urology</journal-title></journal-title-group><issn pub-type="epub">1471-2490</issn><publisher><publisher-name>BioMed Central</publisher-name><publisher-loc>London</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26088081</article-id><article-id pub-id-type="pmc">4471909</article-id><article-id pub-id-type="publisher-id">44</article-id><article-id pub-id-type="doi">10.1186/s12894-015-0044-3</article-id><article-categories><subj-group subj-group-type="heading"><subject>Technical Advance</subject></subj-group></article-categories><title-group><article-title>A new surgical technique for concealed penis using an advanced musculocutaneous scrotal flap</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Han</surname><given-names>Dong-Seok</given-names></name><address><email>hds@dreamwiz.com</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Jang</surname><given-names>Hoon</given-names></name><address><email>urjang@gmail.com</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Youn</surname><given-names>Chang-Shik</given-names></name><address><email>singen80@hanmail.net</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Yuk</surname><given-names>Seung-Mo</given-names></name><address><phone>82-42-220-9090</phone><email>doctor6@hanmail.net</email></address><xref ref-type="aff" rid="Aff1"></xref></contrib><aff id="Aff1">The Catholic University of Korea, Daejeon Saint Mary’s Hospital, 64, Daeheung-ro, Jung-gu, Daejeon 301-723 Republic of Korea</aff></contrib-group><pub-date pub-type="epub"><day>19</day><month>6</month><year>2015</year></pub-date><pub-date pub-type="pmc-release"><day>19</day><month>6</month><year>2015</year></pub-date><pub-date pub-type="collection"><year>2015</year></pub-date><volume>15</volume><elocation-id>54</elocation-id><history><date date-type="received"><day>28</day><month>8</month><year>2014</year></date><date date-type="accepted"><day>1</day><month>6</month><year>2015</year></date></history><permissions><copyright-statement>© Han et al. 2015</copyright-statement><license license-type="open-access"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</ext-link>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/publicdomain/zero/1.0/">http://creativecommons.org/publicdomain/zero/1.0/</ext-link>) applies to the data made available in this article, unless otherwise stated.</license-p></license></permissions><abstract id="Abs1"><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></abstract><kwd-group xml:lang="en"><title>Keywords</title><kwd>Penis</kwd><kwd>Scrotum</kwd><kwd>Lymphedema</kwd></kwd-group><custom-meta-group><custom-meta><meta-name>issue-copyright-statement</meta-name><meta-value>© The Author(s) 2015</meta-value></custom-meta></custom-meta-group></article-meta></front></pmc><affiliations><list></list><tree><noCountry><name sortKey="Han, Dong Seok" sort="Han, Dong Seok" uniqKey="Han D" first="Dong-Seok" last="Han">Dong-Seok Han</name><name sortKey="Jang, Hoon" sort="Jang, Hoon" uniqKey="Jang H" first="Hoon" last="Jang">Hoon Jang</name><name sortKey="Youn, Chang Shik" sort="Youn, Chang Shik" uniqKey="Youn C" first="Chang-Shik" last="Youn">Chang-Shik Youn</name><name sortKey="Yuk, Seung Mo" sort="Yuk, Seung Mo" uniqKey="Yuk S" first="Seung-Mo" last="Yuk">Seung-Mo Yuk</name></noCountry></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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