Shaeer's Monsplasty: A minimally invasive technique for revealing the concealed penis
Kamal Shaeer, O1
1: Kasr El AIni Faculty of Medicine, Cairo University, Egypt
Objectives: A concealed penis is a condition where part of the penis is invisible below the surface of the prepubic skin. Dermolipectomy can correct this condition, though involving a long abdominal crease incision, or infrapubic incision around the base of the penis, and a possibility for genital lymphedema. The present work describes Shaeer’s technique, a minimally invasive method for revealing the concealed penis.
Materials and Methods: A 1-2 cm long incision was cut over the anterior superior iliac spine (ASIS) on either side. A long curved blunt forceps was inserted from one incision, down to the base of the penis then up to the contralateral ASIS. A 5mm-wide non-absorabable tape was picked up by the forceps from one incision and pulled through to emerge from the other. Pulling on the tape cephalad pulled the mons pubis and revealed the penis. The tape was sutured to the periosteum overlying the ASIS on either side. Patients were followed up for 18 months for penile length, complications and overall satisfaction.
Results: Twenty patients were operated upon. Pre-operatively, flaccid visible length was 3 ± 0.9 cm, and erect visible length 8 ± 4.6 cm. Post-operatively, the flaccid visible length was 7.1 ± 2.1 cm, with a 57.9% improvement in length (p<0.0001). Erect visible length was 11.8 ± 2.1 cm, with a 32% improvement in length (p<0.0001). Length gain was maintained for 18 months.
Conclusion: Shaeer’s technique is a minimally invasive, short and simple procedure for mons plasty and revealing the concealed penis.
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