Department of Pediatric Surgery, Zaozhuang Municipal Hospital, Zaozhuang, Shandong Province, China.
Eur Rev Med Pharmacol Sci. 2022 Jul;26(13):4592-4596. doi: 10.26355/eurrev_202207_29180.
With the current study, we aimed at describing our experience of surgical management of concealed penis using the modified Devine's procedure.
Medical records of all patients undergoing surgical management of concealed penis using the modified Devine's procedure from January 2019 to June 2021 were retrieved. Penile length was measured before and after the procedure. Parental satisfaction on the penile size, morphology, voiding status and hygiene was measured using a 5-point Likert's scale.
A total of 131 patients were included. The mean age of the patients was 8.56 ± 2.75 years. The mean BMI of the patients was 24.17 ± 1.78 kg/m2. The patients were followed up to a mean of 15 ± 3 months. The duration of the surgery was 89.93 ± 16.85 minutes. There was a statistically significant increase in penile length from 1.8 ± 0.64 cm to 5.02 ± 1.11 cm after the procedure (p < 0.01). There was a statistically significant improvement in satisfaction status of all domains at 6, 12 and 24 weeks as compared to pre-operative levels.
The modified Devine's technique is a simple and effective surgical technique for management of concealed penis in children producing predictable results and excellent parental satisfaction. The low rate of complications and good cosmetic outcomes lend support to its use in clinical practice.
本研究旨在描述我们使用改良 Devine 手术治疗隐匿性阴茎的经验。
回顾了 2019 年 1 月至 2021 年 6 月期间采用改良 Devine 手术治疗隐匿性阴茎的所有患者的病历。术前和术后测量阴茎长度。采用 5 分 Likert 量表评估家长对阴茎大小、形态、排尿状况和卫生的满意度。
共纳入 131 例患者。患者平均年龄为 8.56 ± 2.75 岁。患者平均 BMI 为 24.17 ± 1.78 kg/m2。患者平均随访 15 ± 3 个月。手术时间为 89.93 ± 16.85 分钟。术后阴茎长度从 1.8 ± 0.64cm 增加至 5.02 ± 1.11cm，差异有统计学意义（p<0.01）。与术前相比，术后 6、12 和 24 周所有领域的满意度均有统计学显著改善。
改良 Devine 技术是治疗儿童隐匿性阴茎的一种简单有效的手术方法，可获得可预测的结果和良好的家长满意度。并发症发生率低，美容效果好，支持其在临床实践中的应用。
