Penoplasty with T-shaped incision and three-point fixation for concealed penis / 中华男科学杂志
National Journal of Andrology
;
(12): 335-339, 2018.
Artículo
en Chino
| WPRIM
| ID: wpr-689754
ABSTRACT
<p><b>Objective</b>To search for a safe and effective method of penoplasty with low incidence of complications for concealed penis by evaluating penoplasty with T-shaped incision and three-point fixation in comparison with modified Devine's technique.</p><p><b>METHODS</b>We retrospectively analyzed 169 cases of concealed penis treated in our center by penoplasty with T-shaped incision and three-point fixation (group A, n = 110) or modified Devine's surgery (group B, n = 59). We compared the operation time, postoperative complications, and recurrence rate between the two groups of patients.</p><p><b>RESULTS</b>Operations were successfully completed in all the cases, the urinary catheters removed at 3 days and the elastic bandages applied for 2 to 4 weeks. The patients were followed up for 4 to 12 months. The penis was satisfactorily exposed. The operative time was significantly shorter in group A than in B ([52.8 ± 6.9] vs [61.5 ± 10.6] min, P < 0.001), the postoperative complication rate was obviously lower in the former than in the latter (prepuce edema 17.27% [19/110] vs 33.89% [20/59], P = 0.021; bleeding 0.90% [1/110] vs 3.38% [2/59], P = 0.552; skin necrosis 0.90% [1/110] vs 5.08% [3/59], P = 0.123; skin infection 0.90% [1/110] vs 5.08% [3/59], P = 0.123), and so was the recurrence rate (0.90% [1/110] vs 6.77% [4/59], P = 0.032).</p><p><b>CONCLUSIONS</b>Penoplasty with T-shaped incision and three-point fixation deserves to be popularized clinically for its advantages of minor invasion, clear exposure, reliable penile fixation, low incidence of postoperative complications and recurrence, and satisfactory outcomes.</p>
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Pene
/
Complicaciones Posoperatorias
/
Recurrencia
/
Cirugía General
/
Anomalías Congénitas
/
Estudios Retrospectivos
/
Edema
/
Tempo Operativo
/
Catéteres Urinarios
/
Herida Quirúrgica
Tipo de estudio:
Estudio observacional
Límite:
Humanos
/
Masculino
Idioma:
Chino
Revista:
National Journal of Andrology
Año:
2018
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS