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  3. Vol. 20 (2023): Instant 2023
  4. ORIGINAL PAPER (PEDIATRIC UROLOGY)

ISSN: 1735-1308

Instant 2023
Vol. 20 (2023)

Clinical Study of Modified Devine’s Surgical Technique in the Treatment of Concealed Penis

  • Ziyi Zhang
  • Hao Wu
  • Weijiang Mao
  • Sheng-Lin Gao
  • Li Zuo
  • Li-Feng Zhang

Urology Journal, Vol. 20 (2023), , Page 6900
https://doi.org/10.22037/uj.v20i.6900 Published 12 March 2023

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Abstract

Purpose: This study aimed to observe the clinical effect of modified Devine’s surgical technique in the treatment of concealed penis.


Materials and Methods: From July 2015 to September 2020, fifty-six children with concealed penis were treated with modified Devine’s technique. Recorded the penile length and the satisfaction score preoperatively and postoperatively to confirm the effect of the surgery. Followed up the penis for bleeding, infection and edema one week and four weeks after the operation. Twelve weeks after the operation, we measured the length of the penis and observed whether there was a retraction.


Results: The length of the penis has been effectively lengthened(P<0.001). There was significant improvement in parents’ satisfaction grades (P<0.001). All the patients had different degrees of penile edema after the operation. Most of the penile edema subsided about four weeks after the operation. No other complications occurred. No obvious penile retraction was found twelve weeks postoperative.


Conclusion: The modified Devine’s technique was safe and effective. As a treatment for concealed penis, it is worthy of wide clinical application. 

Keywords:
  • Key words: Concealed penis; Devine; Modified; Curative effect evaluation; Surgical treatment.
  • Just Accepted-6900

How to Cite

Zhang, Z., Wu, H., Mao, W., Gao, S.-L., Zuo, L., & Zhang, L.-F. (2023). Clinical Study of Modified Devine’s Surgical Technique in the Treatment of Concealed Penis. Urology Journal, 20, 6900. https://doi.org/10.22037/uj.v20i.6900
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References

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Yin WQ, Wang GY, Wu KR. [A new procedure of penoplasty for concealed penis reduces postoperative preputial edema]. Zhonghua Nan Ke Xue. 2019;25:901-4.

Ozkidik M, Telli O, Hamidi N, et al. Concealed Penis after Circumcision: Is It Beneficial in Lowering Uropathogenic Colonization in Penile Skin and Preventing Recurrence of Febrile Urinary Tract Infections? Urol J. 2020;17:164-8.

Hirsch K, Schwaiger B, Kraske S, Wullich B. Megaprepuce: presentation of a modified surgical technique with excellent cosmetic and functional results. J Pediatr Urol. 2019;15:401 e1- e6.

Xu XW, Xu YT, Shen ZJ, Li DJ, Gu W, Huang RQ. [Devine's technique with free skin grafting for concealed penis with prepuce deficit]. Zhonghua Nan Ke Xue. 2011;17:625-7.

Ge W, Zhu X, Xu Y, Chen Y, Wang J. Therapeutic effects of modified Devine surgery for concealed penis in children. Asian J Surg. 2019;42:356-61.

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Chan IH, Wong KK. Common urological problems in children: prepuce, phimosis, and buried penis. Hong Kong Med J. 2016;22:263-9.

Ngaage LM, Lopez J, Wu Y, et al. Uncovering the Hidden Penis: A Novel Nomenclature and Classification System. Ann Plast Surg. 2020.

Smith-Harrison LI, Piotrowski J, Machen GL, Guise A. Acquired Buried Penis in Adults: A Review of Surgical Management. Sex Med Rev. 2020;8:150-7.

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