Abstract
To compare a novel modified W-incision scrotoplasty (MWS) operation method with the conventional V-Y scrotoplasty for treatment of severe penoscrotal webbing (PSW) in children a retrospective study was conducted on 26 children. Circumcision combined with modified scrotoplasty was used to repair the webbed penis and phimosis of children and another 32 patients undergoing V-Y scrotoplasty served as the control group. There was a statistically significant difference of angle improvements of penis and scrotum in a horizontal position (−66 ± 10; −57 ± 6, P < 0.001) and the parent satisfaction score (Five Likert Scale) (4.7 ± 0.56; 3.8 ± 0.47, P < 0.001) between the two groups. All 26 children who underwent MWS presented with no serious postoperative complications, and there was no significant difference in surgical complications compared to children treated with V-Y scrotoplasty.
Highlights
Penoscrotal webbing (PSW) is called congenital penile scrotal fusion and refers to a webbed fusion between the ventral skin of the penis and the median raphe of the scrotum
We have summarized 26 cases of children with a simple type of penoscrotal webbing (PSW) from July 2012 to April 2018
The parent satisfaction score was significantly better in the modified W-incision scrotoplasty (MWS) compared to the V-Y scrotoplasty group (P < 0.001) (Table 2)
Summary
Penoscrotal webbing (PSW) is called congenital penile scrotal fusion and refers to a webbed fusion between the ventral skin of the penis and the median raphe of the scrotum. The webbed penis is a congenital condition in which a web or fold of skin between the penis and the scrotum obscures the penoscrotal angle in an otherwise normal-sized penile shaft [1,2,3]. It is confused with concealed penis, micropenis and trapped penis. In many cases PSW is often not diagnosed. According to the range covering the penis body, simple PSW can be further divided into: Grade 1: The web extends to the proximal 1/3 of the shaft of the penis; Grade 2: The web extends to the mid 1/3 of the penis; Grade 3: The web extends to the distal 1/3 of the penis
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