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Therapeutic effects of modified Devine surgery for concealed penis in children

机译:改良迪瓦恩手术治疗儿童隐匿性阴茎的疗效

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ObjectiveConsiderable controversy exists regarding the surgical indications for a concealed penis. We herein describe a modified technique for correction of a concealed penis. The superfluous inner plate is resected to accelerate the disappearance of the postoperative lymphedema, and the skin between the penis and scrotum is trimmed to recover the penoscrotal angle.MethodsFrom January 2014 to October 2017, 79 patients with a concealed penis underwent our modified Devine penoplasty procedure. We measured the penile length preoperatively and postoperatively to confirm the improvement. A questionnaire was administered to the patients’ parents to assess satisfaction regarding penile size, morphology, voiding status, and hygiene.ResultsThe perpendicular penile length was 1.88?±?0.76?cm preoperatively and 4.42?±?0.48?cm postoperatively, representing a significant improvement(p?
机译:目的关于阴茎隐匿的手术指征存在相当大的争议。我们在此描述了一种用于矫正隐蔽阴茎的改良技术。方法从2014年1月至2017年10月,对79例隐性阴茎患者行改良Devine阴茎成形术。我们在术前和术后测量了阴茎长度,以确认病情好转。对患者父母进行了问卷调查,以评估其对阴茎大小,形态,排尿状态和卫生状况的满意度。结果术前垂直阴茎长度为1.88?±?0.76?cm,术后垂直阴茎长度为4.42?±?0.48?cm,这表明改善(p≤0.05)。术后父母对阴茎大小,形态,排尿状态和卫生状况的满意度明显提高(p <0.05)。几乎每个病人术后都有阴茎淋巴水肿。但是,这种症状已自发消失了6周。没有发生其他并发症,例如皮肤坏死,组织挛缩或伤口感染。结论本文描述的隐蔽阴茎的改良修复技术在技术上是可行和安全的,并且获得了良好的术后满意度。此外,术后阴茎表现出良好的美容外观。由于成功的结果很少并发症,因此我们认为这种针对阴茎隐蔽患者的手术方法比传统方法更有效。证据水平第四级,治疗研究。

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