A new surgical technique for concealed penis using an advanced musculocutaneous scrotal flap.

Dong-Seok Han,Hoon Jang,Seung-Mo Yuk,Chang-Shik Youn

doi:10.1186/s12894-015-0044-3

Dong-Seok Han, Hoon Jang + Show 2 more

Open Access

https://doi.org/10.1186/s12894-015-0044-3

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Abstract

BackgroundUntil recently, no single, universally accepted surgical method has existed for all types of concealed penis repairs. We describe a new surgical technique for repairing concealed penis by using an advanced musculocutaneous scrotal flap.MethodsFrom January 2010 to June 2014, we evaluated 12 patients (12–40 years old) with concealed penises who were surgically treated with an advanced musculocutaneous scrotal flap technique after degloving through a ventral approach. All the patients were scheduled for regular follow-up at 6, 12, and 24 weeks postoperatively. The satisfaction grade for penile size, morphology, and voiding status were evaluated using a questionnaire preoperatively and at all of the follow-ups. Information regarding complications was obtained during the postoperative hospital stay and at all follow-ups.ResultsThe patients’ satisfaction grades, which included the penile size, morphology, and voiding status, improved postoperatively compared to those preoperatively. All patients had penile lymphedema postoperatively; however, this disappeared within 6 weeks. There were no complications such as skin necrosis and contracture, voiding difficulty, or erectile dysfunction.ConclusionsOur advanced musculocutaneous scrotal flap technique for concealed penis repair is technically easy and safe. In addition, it provides a good cosmetic appearance, functional outcomes and excellent postoperative satisfaction grades. Lastly, it seems applicable in any type of concealed penis, including cases in which the ventral skin defect is difficult to cover.

Highlights

Until recently, no single, universally accepted surgical method has existed for all types of concealed penis repairs
Concealed penis (CP) is a congenital abnormality in which the penis is concealed within the subcutaneous tissue [1]
The penis appears to be fused to the scrotum, and the penile shaft is entrapped within the subcutaneous tissue

Summary

Introduction

No single, universally accepted surgical method has existed for all types of concealed penis repairs. We describe a new surgical technique for repairing concealed penis by using an advanced musculocutaneous scrotal flap. The penis appears to be fused to the scrotum, and the penile shaft is entrapped within the subcutaneous tissue. In the surgical correction of CP, covering the penile skin defect is a major challenge, but is the most. Numerous surgical techniques for correcting CP have been described. Until recently, no single, universally accepted surgical method has existed for all CP repairs. The skin defect cannot be covered following previous surgical intervention. New surgical techniques are warranted to achieve better cosmetic and functional outcomes

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