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. 2015 Jun 19:15:54.
doi: 10.1186/s12894-015-0044-3.

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

Dong-Seok Han  1 , Hoon Jang  2 , Chang-Shik Youn  3 , Seung-Mo Yuk  4
Affiliations

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

Dong-Seok Han et al. BMC Urol. .

Abstract

Background: Until 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.

Methods: From 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.

Results: The 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.

Conclusions: Our 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.

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Figures

Fig. 1
Fig. 1
The advanced musculocutaneous scrotal flap technique procedures for correcting concealed penis: a) the ventral vertical incision (dotted line); b) the fully exposed glans, creation of the diamond-shaped skin defect, and an additional circumferential incision (dotted line); c) penile elongation with complete degloving; d) the paramedial vertical incision (dotted line) with triangles; e) scrotal flap advancement; f) the interrupted suture; g) postoperative lymphedema; and h) the final features of the penis. Written informed consent was also obtained from the patient (s) for publication of any accompanying images
See this image and copyright information in PMC

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