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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.

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

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  1. 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

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

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

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

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

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

  7. 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

  8. 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)

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

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

  11. Result Immediate postop Immediate postop

  12. Result Postop 1 week Postop 1 week

  13. Result Postop 1 month Postop 1 month

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