Abstract
Objective To explore the classification and treatment of concealed penis in children. Methods From December 2009 to December 2013, a total of 83 consecutive patients with concealed penis were reviewed and classified by ostium praeputiale angle. The clinical grades of concealed penis were I (30-45 degrees, n=3), II (46-90 degrees, n=10) and III (>90 degrees, n=70). Grades I and II underwent modified Brisson while grade III had modified Shiraki. Based upon the Boemers criteria, the overall postoperative outcomes were good, average and poor. Results Wound dressing and urinary tube were removed at Day 5/6 after operation. All patients were discharged at Day 6/7. During an average follow-up period of 12 (6-24) months, there was no occurrence of voiding problems. Twelve cases with inner prepuce edema recovered within 6-12 weeks. Eventual appearance was satisfactory (n=81) and minuscule (n=2). Conclusions With few complications and satisfactory cosmetics, different grades of pediatric concealed penis may be adequately managed by individualized operations. Key words: Concealed penis; Brisson; Shiraki; Urologic surgical procedures
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