Penoplasty with T-shaped incision and three-point fixation for concealed penis

WANG Guo-yao; WU Ke-rong; YIN Wei-qi; LIU Guan-lin

doi:10.13263/j.cnki.nja.2018.04.009

Abstract：Objective: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.Methods:We retrospectively analyzed 169 cases of concealed penis treated in our center by penoplasty with T-shaped incision and three-point fixation (group A,r =110) or modified Devine~ surgery (group B,n =59).We compared the operation time,postoperative complications,and recurrence rate between the two groups of patients.Results: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] vs5.08％ [3/59],P =0.123;skin infection:0.90％ [1/110] vs5.08％ [3/59],P =0.123),and so was the recurrence rate (0.90％ [1/110] vs 6.77％ [4/59],P =0.032).Conclusion: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.