Efficacy Analysis of Prepuce Inner and Outer Plate Flap Plasty in the Treatment of Severe Concealed Penis in Children
Objective To discuss the efficacy of foreskin inner-outer plate flap plasty for severe concealed penis and its effect on penis appearance.Methods A total of 60 children with severe concealed penis admitted to the author's hospital from January 2020 to April 2022 were enrolled,all the children were treated with foreskin inner-outer plate flap plasty.After operation,the operation time,flap survival rate,complications,static penile length,pediatric penile perception score(PPPS),and penile appearance satisfaction were observed and recorded.Results The follow-up time was 8.54(3~16)months,operation time was(49.36±5.17)min,all flaps were survived,and the complication rate were 13.33%(8/60).The static penis length was(4.46±0.52)cm at 3 months after operation,it was significantly longer than that before operation(1.52±0.24)cm(P<0.05).The position and shape of urethral orifice,appearance of glans,appearance of foreskin,overall appearance score and total score of PPPS were 2(2,3)points,2(2,3)points,2(2,3)points,2(2,3)points,10(9,11)points,respectively.The satisfaction of penis appearance was 96.67%(58/60).Conclusion The foreskin inner-outer plate flap plasty for severe concealed penis had good effect,high safety,and could effectively improve the satisfaction of penis appearance.
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