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Dana A Weiss, Zachary L Smith, Jesse A Taylor, Douglas A Canning
A 12-year-old boy sustained a close-range shotgun wound with buckshot to the penis and lower abdomen. The proximal two-thirds of the corpora cavernosa was obliterated and the distal third was thrombosed. All dorsal penile skin was lost. The urethra remained intact. The patient underwent multiple debridements, allowing the wound to declare its borders. Employing the tissue transfer concept used by Cecil and Culp in hypospadias repairs, the penis was marsupialized onto the suprapubic area where it remained for 8 months...
August 2017: Urology
Michael Bickell, Neil Manimala, Justin Parker, Brian Steixner, Lucas Wiegand, Rafael Carrion
INTRODUCTION: Floppy glans syndrome (FGS) is a potential complication of penile prosthesis placement in patients with erectile dysfunction. FGS affects a very small proportion of these patients, and it can manifest in a ventral, dorsal, or lateral droop of a hypermobile glans, which can cause affected patients to complain of painful, unsatisfying, or otherwise difficult attempts at sexual intercourse. Incorrect cylinder sizing can even result in extreme conditions such as flail penis or S-shaped deformity...
April 2016: Sexual Medicine Reviews
Chao Chen, Ning Li, Yi-Ge Luo, Hong Wang, Xian-Ming Tang, Jia-Bo Chen, Chun-Qiang Dong, Qiang Liu, Kun Dong, Cheng Su, Ti-Quan Yang
PURPOSE: To evaluate the effect of modified penoplasty in the management of concealed penis. METHODS: We retrospectively reviewed 96 consecutive patients with concealed penis, which had been surgically corrected between July 2013 and July 2015. All patients underwent modified Shiraki phalloplasty. All patients were scheduled for regular follow-up at 1, 3, and 6 months after the surgery. Data on the patients' age, operative time, postoperative complications, and parents' satisfaction grade were collected and analyzed...
October 2016: International Urology and Nephrology
M V Vincent, S E Dundas Byles, N D Duncan
No abstract text is available yet for this article.
September 2014: West Indian Medical Journal
Jian-Guo Xu, Chuan Lv, Yu-Chong Wang, Ji Zhu, Chun-Yu Xue
INTRODUCTION: To investigate the effect of penile degloving in combination with penoscrotal angle reconstruction for the correction of concealed penis. TECHNICAL CONSIDERATIONS: A foreskin circumcision incision was made along the coronal sulcus. After a sharp dissection under the superficial layer of tunica albuginea, the penile shaft was degloved to release the fibrous bands of the tunica dartos. Through a longitudinal incision or Z-plasty at the penoscrotal junction, securing of the tunica albuginea to the proximal tunica dartos was performed...
March 2015: Urology
Hiroshi Murakami, Yuta Yazaki, Shogo Seo, Takanori Ochi, Manabu Okawada, Takashi Doi, Go Miyano, Hiroyuki Koga, Geoffrey J Lane, Takumi Ochiai, Atsuyuki Yamataka
PURPOSE: There are few reports about postoperative outcome of penoplasty (PP). We present the results of mid- to long-term follow-up of PP performed for congenital megaprepuce (CMP). METHODS: Data from 65 CMP cases treated by PP performed by a single surgeon from 2000 to 2014 were collected prospectively. All cases were treated using the technique reported by Cuckow (Pediatric surgery. Springer, Berlin, pp 543-554, 2006). RESULTS: Mean age at PP was 5...
January 2015: Pediatric Surgery International
Sung Dae Kim, Jung Sik Huh, Young-Joo Kim
Penile necrosis is a very rare complication because of its rich collateral supply. Conservative management is apt to be ineffective; thus penectomy is usually performed. We present a case of penile necrosis and claudication of both legs with multiple atherosclerosis in a type II diabetes mellitus patient who was successfully treated with angioplasty, penoplasty, and additional intracavernous injections of prostaglandin E1. The treatment resulted in relief of the leg pain and healing of the penile ischemic lesions...
April 2014: World Journal of Men's Health
Tianyou Yang, Liyu Zhang, Cheng Su, Zhongmin Li, Yingquan Wen
OBJECTIVE: To report a modified penoplasty technique for concealed penis in children. METHODS: Between January 2006 and June 2012, 201 cases of concealed penis were surgically repaired with modified penoplasty. The modified penoplasty technique consisted of 3 major steps: (1) degloved the penile skin and excised the inner prepuce, (2) advanced penoscrotal skin to cover penile shaft, and (3) fixed the penis base and reconstructed the penoscrotal angle. RESULTS: Two hundred one cases of concealed penis were enrolled in this study over a period of 6 years...
September 2013: Urology
Jae Hung Jung, Minseob Eom, Francis Raymond P Arkoncel, Yun Hsien Sung, Won Kim, Hyun Keun Byun, Jung Min Joo, Kwang Jin Kim, Sung Jin Kim
A 44-year-old male patient who had undergone augmentation penoplasty 20 years previously presented with a slowly growing penoscrotal mass. The penile mass was excised totally and the pathologic diagnosis was an epidermal cyst. Epidermal cysts are benign disorders that can occur in any part of the body. However, an epidermal cyst as a late complication of augmentation penoplasty is extremely rare. We report this case of a penile epidermal cyst that developed after augmentation penoplasty.
March 2013: Korean Journal of Urology
Rui-Heng Wang, Chuan Cao, Wen-Ming Mei, Wen-Xian Wang, Li-Wen Tan, Shi-Rong Li
OBJECTIVE: To evaluate the feasibility of 3-Dimensional (3-D) model reconstruction of penis and surrounding structures based on magnetic resonance images, which may provide the model building method for modeling surgery of individual penoplasty. METHODS: Magnetic resonance (MR) images of penis with different imaging parameters were evaluated. With the surface rendering construction, the 3D virtual model was established by Amira software. RESULTS: The anatomical details imaging is better in T2-weighted fast spin-echo images with 3...
July 2012: Zhonghua Zheng Xing Wai Ke za Zhi, Zhonghua Zhengxing Waike Zazhi, Chinese Journal of Plastic Surgery
Sheng-Song Huang, Deng-Long Wu, Tao Yuan, Qi-Quan Jiang, Fang Chen, Hua Xie
OBJECTIVE: To investigate the therapeutic effect of penoplasty with scrotal skin flap for the treatment of burid penis in children. METHODS: The narrow ring was cutted vertically at the ventral side of penis and the prepuce inner plate was circularly cutted 0.5 cm from the coronary sulcus. The prepuce was degloved to the base of penis. The abnormal aponeurosis was removed completely. The prepuce was designed to cover the coronary sulcus. The scrotal flaps at both sides were formed and advanced to cover the penile base...
July 2012: Zhonghua Zheng Xing Wai Ke za Zhi, Zhonghua Zhengxing Waike Zazhi, Chinese Journal of Plastic Surgery
Zhe Jin, Yi-Guang Wu, Yi-Ming Yuan, Jing Peng, Yan-Qing Gong, Guang-Yong Li, Wei-Dong Song, Wan-Shou Cui, Xue-You He, Zhong-Cheng Xin
In this study, we investigated the safety and efficacy of a poly acid-co-glycolide biodegradable scaffold (Maxpol-T) coated by autologous fibroblasts (AF) for penile girth enlargement in small penis syndrome (SPS). Eighty patients with SPS were enrolled in a clinical study at 2 medical centers; 69 patients completed the study protocol. Scrotal skin was harvested under local anesthesia, and AFs were cultured and seeded on a Maxpol-T scaffold; the cografted scaffold was implanted under the Buck's fascia of penile shaft via a circumcising incision...
September 2011: Journal of Andrology
Lena Perger, Robert S Hanley, Neil R Feins
PURPOSE: The aim of this study is to report single surgeon's experience in treatment of buried penis in children and describe the surgical technique which was developed by the senior author. METHODS: Described surgical technique avoids circumferential incision at the base of the penis and thus prevents formation of post-operative lymphedema. Repair is based on a vertical incision in median raphe, complete degloving of penis and tacking its base to prepubic fascia...
February 2009: Pediatric Surgery International
Mahmood Abbas, Agnes Liard, Frederick Elbaz, B Bachy
OBJECTIVE: To review the etiological factors, clinical presentations and outcome of our surgical technique to correct the anomaly of concealed penis. PATIENTS AND METHODS: Thirty consecutive patients were treated in 2000-2004. Mean age at operation was 6.7 years (range 13 months-15.4 years). They underwent penoplasty alone (22 patients) or penoplasty with liposuction of prominent prepubic fat pad (eight patients). The medical records of all the patients were retrospectively reviewed, and 23 patients were interviewed, examined clinically and questioned about their initial complaint and the results of our technique...
December 2007: Journal of Pediatric Urology
Mohammed A Al-Ghazo, Kamal E Banihani
OBJECTIVE: To determine indications for circumcision revision and to identify the specialty of the person who performed unsatisfactory primary circumcision. MATERIALS AND METHODS: The authors reviewed medical records of 52 cases that underwent circumcision revision over a 6-year period (1998 to 2004). Sleeve surgical technique was used for revision in patients with redundant foreskin or concealed penis, penoplasty for partial or complete degloving of the penis and meatotomy for external meatal stenosis...
July 2006: International Braz J Urol: Official Journal of the Brazilian Society of Urology
K Hohaus, B Bley, E Köstler, J Schönlebe, U Wollina
We report a 30-year-old-patient with penile sclerosing lipogranuloma following injections of Vaseline. He was successfully treated by complete surgical removal of the subcutaneous material and excision of atrophic skin, followed by penoplasty. Temporary impairment of wound healing was overcome by application of topical carbon dioxide gas. A brief review on international literature is given.
September 2003: Journal of the European Academy of Dermatology and Venereology: JEADV
J H Chuang, L Y Chen, C S Shieh, S Y Lee
BACKGROUND/PURPOSE: The authors reviewed 60 cases of buried penis, treated in a single institution with postoperative follow-up for at least 6 months. The review was aimed at providing information that might help to optimize the results in future surgical correction of this uncommon, but not rare, congenital disorder. METHODS: From January 1, 1989 to December 31, 1998, 62 boys with buried penis were treated with 1 of the following procedures: group 1A (n = 6), preputial unfurling alone; group 1B (n = 8), modified preputial unfurling; group 1C (n = 12), penoplasty devised by the first author with preservation of the preputial skin; and group 2 (n = 36), penoplasty with trimming of the inner preputial skin...
March 2001: Journal of Pediatric Surgery
P Brisson, H Patel, M Chan, N Feins
PURPOSE: The authors report their experience with a large number of children with buried penis and describe their surgical technique. METHODS: Fifty consecutive cases of buried penis that occurred between 1993 and 1999 were analyzed by chart review. Age at the time of surgery was 11 months to 13 years. Each patient underwent elective surgical repair utilizing a surgical technique not described previously. The authors' technique avoids a circumferential incision at the base of the penis, decreasing postoperative edema...
March 2001: Journal of Pediatric Surgery
J H Chuang
Buried penis is a congenitally abnormal arrangement of the foreskin relative to the penile shaft, which results in a pseudomicropenis in an otherwise healthy, nonobese child. The author proposes a penoplasty technique appropriate for correction of this disorder, based on experience with 21 patients.
September 1995: Journal of Pediatric Surgery
J E Binard, L Persky, G DeLeary, J Lockhart, K O'Kelly
No abstract text is available yet for this article.
October 1993: Journal of the American Paraplegia Society
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