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. 2021 Feb 3;21(1):15.
doi: 10.1186/s12894-021-00782-y.

Circumferential dissection of deep fascia as ancillary technique in circumcision: is it possible to correct phimosis increasing penis size?

Pagano Carmine  1 , Faenza Mario  2 , Guastafierro Antonio  3 , Manfellotto Vincenzo  3 , Grella Elisa  3 , Cosenza Angelo  4 , Pieretti Gorizio  3 , Izzo Sara  3
Affiliations

Circumferential dissection of deep fascia as ancillary technique in circumcision: is it possible to correct phimosis increasing penis size?

Pagano Carmine et al. BMC Urol. .

Abstract

Background: Phimosis is the inability to retract the preputium downward over the glans penis. Despite the various techniques of preputial plasty described in literature, the most performed surgical treatment is still the conventional circumcision.

Methods: In this paper we retrospectively reviewed data of a homogeneous population of 36 consecutive adult patients who underwent phimosis correction by circumcsion with dissection of the Deep Fascia. Patients were followed up by one independent plastic surgeon that measured penis length and circumference in nonerected state preoperatively and at 6 month time postoperatively.

Results: The Wilcoxon Signed Rank Test showed a significant (p < 0.0001) difference between the two groups both in terms of length and circumference.

Conclusions: In conclusion, the ancillary technique we described leads to an increase of penis size, is safe and easy to perform and does not increase significantly operative time nor complication rate to the conventional procedure.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Removal of the constricting fibrous band and consensual penile frenulectomy
Fig. 2
Fig. 2
Skin of the penis body was retracted to the base, showing ventrally the presence of the areolar tissue and deep fascia
Fig. 3
Fig. 3
Adherent bridles were identified and carefully dissected
Fig. 4
Fig. 4
With the ventral aspect of the penis exposed, a manual traction was performed, causing a partial relaxation of the deep fascia, determining the expansion of the corpora cavernosa and the spongeous body of the urethra
See this image and copyright information in PMC

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