A simple modified method to correct buried penis in children and the techniques to reduce postoperative edema

A simple modified method to correct buried penis in children and the techniques to reduce postoperative edema Taiwai Chin, MD Pediatric Surgery, Veterans General Hospital, Taipei National Yangming University

埋藏性陰莖(Buried Penis) • 缺少外皮 • 包皮固定不良 • 脂肪太厚

Penile skin/penile shaft ratio Skin length (S) Shaft length (P) S/P= Skin length / Shaft length x100%

Group A • 嚴重缺少包皮 • 脂肪不厚 • s/p ratio < 30%.

Group B • 中度缺少包皮 • 中度皮下脂肪 • 30%<s/p ratio<70%.

Group C • 包皮不缺 • 脂肪很厚 • s/p ratio >70%.

137 patients/3 years Group A (n=20) Mean age: 3.4 years Group B (n=60) Mean age: 9.6 years Group C (n=55) Mean age: 9.5 years 10 operated 22 operated Not included

手術原因 • 有症狀 • 感染 (n=5) • 包皮開口狹窄 (n=6) • 外觀異常 (n=21)

Surgical Procedure Inner prepuce Outer prepuce 1 2 Fixation at Buck’s fascia 4 3 • 不需導尿 • 不需作院

Surgical Procedure-compare with original unfurling- Modified Inner prepuce Original Outer prepuce

Result Immediate postop Immediate postop

Result Postop 1 week Postop 1 week

Result Postop 1 month Postop 1 month

A simple modified method to correct buried penis in children and the techniques to reduce postoperative edema

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