Evaluation of degloving only in surgical repair of buried penis

Document Type : Original Article

Authors

1 Pediatric surgery, faculty of medicine, Minia university

2 Pediatric surgery , faculty of medicine , Elminia university

3 Pediatric surgery, Faculty of medicine Minia university

4 Pediatric surgery ,faculty of medicine,Minia university

5 Pediatric surgery, Faculty of medicine, Minia university

Abstract

Introduction : Buried penis is a congenital defect described by smaller external genitalia than they actually are yet they are normally sized . This is frequently accompanied by poor external skin of the penis, Dartos fascia fibrosis , poor attachment of the subcutaneous layer to Buck's fascia, and a small prepuce opening. Several symptoms have been noted, including humiliation while unclothed, trouble maintaining cleanliness, gripping the penis when voiding, balanitis, and infection of urinary system .

Aim of study : to evaluate the results of buried penis repair using degloving of the penis without fixation of the penis to the skin .



Patient and methods : 20 patients with buried penis, not obese ,not associated with other penile disorder like hypospadias , epispadias ,chordae ,penile torsion or previous penile operation with mean age 5 years, underwent surgical repair of buried penis by penile degloving and cut of dartos tissue and tethering bands without stitches to fix penis to skin .

Results : .the overall results were satisfactory with no major complication or recurrence of buried penis only one parent was dissatisfied with result due to partial retraction of the penile shaft ,but not completely hidden .

Conclusion : penile degloving without suturing it to skin can repair the condition and get good results with few complications.

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Minia Journal of Medical Research

Articles in Press, Accepted Manuscript
Available Online from 08 August 2023

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