A novel method of penoplasty with“T” circus incision and three - point fixation for concealed penis
Wang, G1; Wu, K1; Yin, W1; Liu, G1
1: Department of Urological Center, The Ningbo No1 Hospital, Zhejiang University, China
Objective: To explore a safe and effective method of penoplasty with fewer complications, we tried a novel way of penoplasty with “T” circus incision and three - point fixation, as compared with modified Devine's technique.
Methods: We retrospectively analysed 169 cases of concealed penis in our hospital from June 2014 to June 2016. 59 cases recieved modified Devine's operation and the other 110 cases received the novel method of penoplasty with“T” circus incision and three - point fixation. The operative time, Postoperative complications and recurrence rate were compared.
Results: All the patients successfully completed with the operation. Urinary catheter was withdrawn after 3 days, and the elastic bandage was wrapped for 2 to 4 weeks. The patients were followed up for 4 to 12 months. The penis was satisfactorily exposed. The operative time was 52.8 ± 6.9 minutes in the novel group and 61.5 ± 10.6 minutes in the modified Devine group, p <0.001. The postoperative complication ratio of the novel group to the modified Devine group was 19/110 vs. 3/59, skin necrosis 1/110 vs. 3/59, skin infection 1/110 vs. 3/59, postoperative bleeding 1/110 vs. 2/59. Postoperative complications were significantly less in the novel group than in the modified Devine group. The recurrence rate was 1/110 in the novel group and 4/59 in the modified Devine group (p = 0.032).
Conclusion: the novel method of penoplasty with“T” circus incision and three - point fixation is featured with minor invasion, small trauma, clear operative exposure, reliable penis fixation, less postoperative complications, low recurrence rate and satisfactory curative effect. Thus it is worthwhile to get popularized.
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