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English Abstract
Journal Article
[Penoplasty with T-shaped incision and three-point fixation for concealed penis].
Objective: To search for a safe and effective method of penoplasty with low incidence of complications for concealed penis by evaluating penoplasty with T-shaped incision and three-point fixation in comparison with modified Devine's technique.
METHODS: We retrospectively analyzed 169 cases of concealed penis treated in our center by penoplasty with T-shaped incision and three-point fixation (group A, n = 110) or modified Devine's surgery (group B, n = 59). We compared the operation time, postoperative complications, and recurrence rate between the two groups of patients.
RESULTS: Operations were successfully completed in all the cases, the urinary catheters removed at 3 days and the elastic bandages applied for 2 to 4 weeks. The patients were followed up for 4 to 12 months. The penis was satisfactorily exposed. The operative time was significantly shorter in group A than in B ([52.8 ± 6.9] vs [61.5 ± 10.6] min, P < 0.001), the postoperative complication rate was obviously lower in the former than in the latter (prepuce edema: 17.27% [19/110] vs 33.89% [20/59], P = 0.021; bleeding: 0.90% [1/110] vs 3.38% [2/59], P = 0.552; skin necrosis: 0.90% [1/110] vs 5.08% [3/59], P = 0.123; skin infection: 0.90% [1/110] vs 5.08% [3/59], P = 0.123), and so was the recurrence rate (0.90% [1/110] vs 6.77% [4/59], P = 0.032).
CONCLUSIONS: Penoplasty with T-shaped incision and three-point fixation deserves to be popularized clinically for its advantages of minor invasion, clear exposure, reliable penile fixation, low incidence of postoperative complications and recurrence, and satisfactory outcomes.
METHODS: We retrospectively analyzed 169 cases of concealed penis treated in our center by penoplasty with T-shaped incision and three-point fixation (group A, n = 110) or modified Devine's surgery (group B, n = 59). We compared the operation time, postoperative complications, and recurrence rate between the two groups of patients.
RESULTS: Operations were successfully completed in all the cases, the urinary catheters removed at 3 days and the elastic bandages applied for 2 to 4 weeks. The patients were followed up for 4 to 12 months. The penis was satisfactorily exposed. The operative time was significantly shorter in group A than in B ([52.8 ± 6.9] vs [61.5 ± 10.6] min, P < 0.001), the postoperative complication rate was obviously lower in the former than in the latter (prepuce edema: 17.27% [19/110] vs 33.89% [20/59], P = 0.021; bleeding: 0.90% [1/110] vs 3.38% [2/59], P = 0.552; skin necrosis: 0.90% [1/110] vs 5.08% [3/59], P = 0.123; skin infection: 0.90% [1/110] vs 5.08% [3/59], P = 0.123), and so was the recurrence rate (0.90% [1/110] vs 6.77% [4/59], P = 0.032).
CONCLUSIONS: Penoplasty with T-shaped incision and three-point fixation deserves to be popularized clinically for its advantages of minor invasion, clear exposure, reliable penile fixation, low incidence of postoperative complications and recurrence, and satisfactory outcomes.
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