کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
4121442 | 1270394 | 2006 | 5 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Surgical approach to the congenital megaprepuce Surgical approach to the congenital megaprepuce](/preview/png/4121442.png)
SummaryThe megaprepuce (MP) is a very rare malformation of unknown aetiology, with anatomical findings similar to those observed in the congenital buried penis (BP). The aspect of this entity and the symptoms are rather typical: the penis is totally buried and before micturition an evident pubic and scrotal swelling denounces the urine collection in an abnormal preputial cavity surrounding the entire shaft. Early surgery is recommended, in order to deal with functional and cosmetic aspects. The very diminutive phallus is the most important cause of family anxiety.The authors present six infants, aged 5, 12, 13, 18, 20 and 43 months, operated upon for MP. The surgical approach consisted in the complete exteriorization of the shaft with section of the penile ligament, the restoring of the pubo-penile and peno-scrotal angles and the tailoring of the cutaneous cylinder.No intra- or postoperative complications were observed. Late functional and cosmetic results were judged satisfactory by both parents and surgeons.The surgical approach to BP is not simply transferable to the correction of MP. The cosmetic arrangement of the shaft skin is the more difficult step of the MP correction in order to avoid postoperative complications and an unsatisfied cosmetic appearance.
Journal: Journal of Plastic, Reconstructive & Aesthetic Surgery - Volume 59, Issue 12, December 2006, Pages 1453–1457