Concealed Penis in Pediatric Age Group
Study Details
Study Description
Brief Summary
Background: Comparison between three different surgical techniques in the management of concealed penis. Methods: This prospective interventional non-randomized study included 150 pediatric patients with concealed penis. They were distributed equally into three groups; group A; patients treated by phallopexy only, group B; patients treated by complete dissection and excision of dartos fascia & group C; patients treated by both phallopexy and dartos excision.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Background: Comparison between three different surgical techniques in the management of concealed penis. Methods: This prospective interventional non-randomized study included 150 pediatric patients with concealed penis. They were distributed equally into three groups; group A; patients treated by anchoring the penile skin dermis to Buck's fascia at the penile base at 3 & 9 o'clock points using PDS 5/0 (phallopexy), group B; patients treated by complete dissection and excision of dartos fascia & group C; patients treated by phallopexy as in group A after complete dissection and excision of dartos fascia. Follow-up at the end of the 1st post-operative week and then monthly for 6 months as regards penile skin congestion and/or necrosis, wound infection, edema, and/or re-retraction was carried out.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
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Experimental: Phallopexy group phallopexy only |
Procedure: Circumcision in concealed penis
comparison of three surgical techniques (as described in the arms) in the management of concealed penis in pediatrics
|
Experimental: Dartos excision group complete circumferential dissection and excision of dartos fascia only |
Procedure: Circumcision in concealed penis
comparison of three surgical techniques (as described in the arms) in the management of concealed penis in pediatrics
|
Experimental: Combined phallopexy and dartos excision group phallopexy as in patients of group A but after complete dissection and excision of dartos fascia |
Procedure: Circumcision in concealed penis
comparison of three surgical techniques (as described in the arms) in the management of concealed penis in pediatrics
|
Outcome Measures
Primary Outcome Measures
- Post-operative appearance of penile skin congestion and/or necrosis [6 months]
Repeated and regular monthly examination of the patients as regards persistent bluish penile discoloration and or loss of penile skin viability. Also a questionnaire of parents about penile skin color, loss of skin, and/or appearance of any abnormal tissues
- Wound infection [6 months]
Repeated and regular monthly examination of the patients as regards the appearance of any penile skin infection and/or pyogenic discharge. Also a questionnaire of parents about the appearance of penile skin redness, pyogenic discharge, and/or the appearance of any pyogenic membranes
- Penile edema [6 months]
Repeated and regular monthly examination of the patients as regards the appearance of penile skin edema. Also a questionnaire of parents about any increase of penile girth than the usual
- Penile re-retraction [6 months]
Repeated and regular monthly examination of the patients as regards the development of any penile re-retraction in the form of retraction of the penis to or beneath the level of pubic skin. Also, a questionnaire of parents about this finding was done
Eligibility Criteria
Criteria
Inclusion Criteria:
- patients with a buried penis at or below the pubic skin level with a stretched penile length for all of them within the normal range according to their ages as titrated in the literature
Exclusion Criteria:
- Patients with any associated anomalies like hypospadias, torsion, penoscrotal web, micropenis, mega-prepuce, or chordae were excluded from the study.
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Faulty of Medicine | Alexandria | Egypt | 12345 |
Sponsors and Collaborators
- Egyptian Biomedical Research Network
Investigators
- Principal Investigator: Ahmed EZ Elrouby, A.Professor, University of Alexandria
Study Documents (Full-Text)
More Information
Publications
None provided.- 0305434