Department of Pediatric Surgery, Policlinico "G.B.Morgagni", Catania, Italy.
Department of Pediatric Surgery, Policlinico-San Marco Hospital, Catania, Italy.
Int J Urol. 2024 Aug;31(8):886-890. doi: 10.1111/iju.15476. Epub 2024 Apr 26.
To describe a new penoscrotal reconfiguration technique, named "V-I penoscrotal reconfiguration" for the surgical reconstruction of a congenital webbed penis (CWP).
Twenty-one patients who underwent the "V-I penoscrotal reconfiguration technique" were included in this retrospective study. The CWP severity was assessed according to El-Koutby's classification. Demographic and clinical data, surgical data, and postoperative outcomes were scheduled and analyzed. Specifically, the postoperative follow-up included both physical and psychological assessments at 2 weeks, 1, 6, and 12 months after surgery. Parents' satisfaction degree was quantified by the Likert scale.
CWP was grade 3 in 11 (52%) patients, 2 in five (24%), and 1 (24%) in five. Five (24%) CWP were isolated malformations, 11 (52%) were associated with phimosis, three (14%) with hypospadias, and two (10%) with hypospadias and phimosis. There were no postoperative complications and no cases of redo surgery. The cosmetic outcomes were excellent in all cases: the parents' satisfaction score was 4 in 17 (81%) cases and 3 (9%) in the other four cases.
CWP may cause psychological distress and functional problems, especially during sexual intercourse. Its correction in childhood is advocated to prevent psychological and sexual issues. The "V-I reconfiguration technique" is simple, and easy with excellent cosmetic and functional outcomes.
描述一种新的阴茎阴囊重建技术，称为“V-I 阴茎阴囊重建”，用于先天性蹼状阴茎（CWP）的手术重建。
本回顾性研究纳入了 21 例接受“V-I 阴茎阴囊重建技术”的患者。根据 El-Koutby 分类评估 CWP 的严重程度。记录并分析了人口统计学和临床数据、手术数据以及术后结果。具体而言，术后随访包括术后 2 周、1 个月、6 个月和 12 个月的体格检查和心理评估。家长满意度通过李克特量表进行量化。
11 例（52%）患者 CWP 为 3 级，5 例（24%）为 2 级，5 例（24%）为 1 级。5 例（24%）CWP 为单纯畸形，11 例（52%）合并包茎，3 例（14%）合并尿道下裂，2 例（10%）合并尿道下裂和包茎。无术后并发症，无再次手术病例。所有病例的美容效果均极佳：17 例（81%）家长满意度评分为 4 分，4 例（9%）家长满意度评分为 3 分。
CWP 可能导致心理困扰和功能问题，尤其是在性交时。提倡在儿童期进行矫正，以预防心理和性问题。“V-I 重建技术”简单易行，具有极佳的美容和功能效果。
