Hosseinpour Mehrdad, Fazeli Ali, Moznebi Davood, Seyedyousefi Sarah
General Surgery Department, Isfahan University of Medical Sciences, Hezar Jarib Avenue, Isfahan, Iran.
Skin Diseases and Leishmaniasis Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
BMC Urol. 2024 Dec 27;24(1):284. doi: 10.1186/s12894-024-01681-8.
Concealed penis is a congenital anomaly that affects not only the appearance but also the function of the external genitalia in the male sex. Different surgical methods have been proposed to correct this disorder, including removal of the previous scar, penile shaft, penile trunk skin reconstruction with flap, penile skin fixation in penopubic and penoscrotal angles, and removal of extra pubic fat. In this study, we will discuss the results of definitive surgery in one stage using autogenous skin grafts and examine the details of this technique.
This study was conducted as a clinical trial in Hospitals related to the Isfahan University of Medical Sciences. Children over the age of 7 years old. A full-thickness graft with a length of 1.5 times the defect and a width of 1 cm was taken from the non-dominant thigh and defatted. The inguinal skin was chosen because it is hairless and next to the penis, and the resulting scar is easily hidden under clothing. Then, the graft was transferred to the operation site and fixed.
We proposed a method of treatment for concealed penis, using a full-thickness inguinal graft. Our technique showed promising results with minimal and negligible complications. To fully highlight each process's benefits and limitations and evaluate them against one another, these procedures should, however, be tested on larger populations and compared comprehensively.
The study was conducted in accordance with the ethical standards of the Isfahan University of Medical Sciences Research Ethics Committee (ethical code: IR.MUI.MED.REC.1402.073) And was registered on 27/05/2023 as a clinical trial in Iranian registry of clinical trials. (IRCT code: IRCT20230513058160N1).
隐匿阴茎是一种先天性异常，不仅影响男性外生殖器的外观，还影响其功能。已提出不同的手术方法来纠正这种疾病，包括切除先前的瘢痕、阴茎体、用皮瓣重建阴茎干皮肤、在耻骨联合和阴茎阴囊角固定阴茎皮肤以及切除耻骨上多余脂肪。在本研究中，我们将讨论使用自体皮肤移植进行一期确定性手术的结果，并研究该技术的细节。
本研究作为一项临床试验在与伊斯法罕医科大学相关的医院进行。研究对象为7岁以上儿童。从非优势大腿取一块长度为缺损长度1.5倍、宽度为1厘米的全厚皮片并进行脱脂处理。选择腹股沟皮肤是因为其无毛且紧邻阴茎，术后瘢痕很容易隐藏在衣物下。然后，将皮片转移至手术部位并固定。
我们提出了一种使用腹股沟全厚皮片治疗隐匿阴茎的方法。我们的技术显示出了有前景的结果，并发症极少且可忽略不计。然而，为了充分突出每个过程的益处和局限性，并相互进行评估，这些手术应在更大规模的人群中进行测试并全面比较。
本研究按照伊斯法罕医科大学研究伦理委员会的伦理标准进行（伦理代码：IR.MUI.MED.REC.1402.073），并于2023年5月27日在伊朗临床试验注册中心注册为一项临床试验（IRCT代码：IRCT20230513058160N1）。
