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• W2048811045 abstract "No AccessJournal of UrologyHypospadias/Penile Surgery1 Jun 2011Simplified Surgical Approach to Congenital Megaprepuce: Fixing, Unfurling and Tailoring Revisited Eduardo Ruiz, Roberto Vagni, Claudio Apostolo, Juan Moldes, Hugo Rodríguez, María Ormaechea, Carlos Giuseppucci, Francisco de Badiola, Juan Bortagaray, and Carlos Perea Eduardo RuizEduardo Ruiz Section on Pediatric Urology, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina More articles by this author , Roberto VagniRoberto Vagni Section on Pediatric Urology, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina More articles by this author , Claudio ApostoloClaudio Apostolo Section on Pediatric Urology, Sanatorio Trinidad Mitre, Buenos Aires, Argentina More articles by this author , Juan MoldesJuan Moldes Section on Pediatric Urology, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina More articles by this author , Hugo RodríguezHugo Rodríguez Section on Pediatric Urology, Sanatorio Trinidad Mitre, Buenos Aires, Argentina More articles by this author , María OrmaecheaMaría Ormaechea Section on Pediatric Urology, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina More articles by this author , Carlos GiuseppucciCarlos Giuseppucci Section on Pediatric Urology, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina More articles by this author , Francisco de BadiolaFrancisco de Badiola Section on Pediatric Urology, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina More articles by this author , Juan BortagarayJuan Bortagaray Section on Pediatric Urology, Hospital Posadas, Buenos Aires, Argentina More articles by this author , and Carlos PereaCarlos Perea Section on Pediatric Urology, Hospital Posadas, Buenos Aires, Argentina More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2011.01.015AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Megaprepuce is a congenital penile malformation that includes phimosis and severe ballooning of the internal prepuce. We combined the main technical details of 2 previously reported surgical techniques to simplify the surgical approach. We report the key points of this revisited surgical correction for megaprepuce and the long-term results. Materials and Methods: Penile reconstruction was performed between March 2004 and March 2009 in 26 children 2 to 19 months old (median age 6) with congenital megaprepuce. Surgical repair consisted of limited preputial resection of the phimotic ring, wide dissection of the outer prepuce to the base of the penis, fixation of the proximal outer prepuce to Buck's fascia to create a new penoscrotal junction, and unfurling and wide tailoring of the inner prepuce in the ventral midline to resurface the whole elongated penile shaft. A bladder catheter was left in place for 5 or 6 days. Only patients with at least 6 months of followup were included in analysis. Results: All patients underwent surgery on an outpatient basis. Operative time was between 50 and 85 minutes. Median followup was 17.6 months (range 6 to 59). Two patients had slight dehiscence of the ventral suture, which healed spontaneously without a scar. In 1 patient transient urethral meatal stenosis developed. The final cosmesis result was adequate in all patients. Conclusions: It is possible to correct megaprepuce and achieve an adequate genital aspect with a simple approach of resurfacing the penis with the unfurled, tailored inner prepuce. References 1 : Abnormalities of the genitalia in boys and their surgical management. In: Campbell's Urology. Edited by . Philadelphia: WB Saunders2004: 2541. sect IX, vol 3, chapt 66. Google Scholar 2 : Phimosis or congenital megaprepuce. Br J Urol1994; 73: 719. Google Scholar 3 : A new technique of concealed penis repair. J Urol2009; 182: 1751. Link, Google Scholar 4 : The buried penis—an anatomical approach. BJU Int2000; 86: 523. Google Scholar 5 : Congenital megaprepuce: an emerging condition—how to recognize and treat it. BJU Int2000; 86: 519. Google Scholar 6 : Preputial unfurling to correct the buried penis. J Pediatr Surg1986; 21: 1055. Google Scholar 7 : Surgical correction of congenital megaprepuce. Pediatr Surg Int1999; 15: 593. Google Scholar 8 : Congenital megaprepuce: an emerging condition, how to recognize and treat it. BJU Int2001; 87: 415. Google Scholar 9 : Editorial comment. BJU Int2000; 86: 526. Google Scholar 10 : Concealed penis in childhood: a spectrum of etiology and treatment. J Urol1999; 162: 1165. Link, Google Scholar 11 : The anatomy of the concealed penis. Dial Pediatr Urol2006; 28: 2. Google Scholar 12 : Buried penis: a congenital syndrome of a short penile shaft and a paucity of penile shaft skin. J Urol2005; 173: 1714. Link, Google Scholar 13 : Concealed penis. Dial Pediatr Urol1993; 16: 5. Google Scholar 14 : Circumcision in “buried penis”: a cautionary tale. Ann R Coll Surg Engl2004; 86: 35. Google Scholar 15 : Surgical approach to the congenital megaprepuce. J Plast Reconstr Aesthet Surg2006; 59: 1453. Google Scholar 16 : Results of a simplified technique for buried penis repair. J Urol2004; 171: 826. Google Scholar 17 : Penile concealment: a successful approach to correction. Dial Pediatr Urol2006; 28: 4. Google Scholar 18 : Megaprepucio congénito: diagnóstico y manejo terapéutico. Actas Urol Esp2006; 30: 1038. Google Scholar 19 : Congenital megaprepuce: a new alternative technique for surgical correction. Int Braz J Urol2008; 34: 313. Google Scholar © 2011 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 185Issue 6SJune 2011Page: 2487-2490 Advertisement Copyright & Permissions© 2011 by American Urological Association Education and Research, Inc.Keywordsmorphologyreconstructive surgical proceduresforeskinabnormalitiespenisMetricsAuthor Information Eduardo Ruiz Section on Pediatric Urology, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina More articles by this author Roberto Vagni Section on Pediatric Urology, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina More articles by this author Claudio Apostolo Section on Pediatric Urology, Sanatorio Trinidad Mitre, Buenos Aires, Argentina More articles by this author Juan Moldes Section on Pediatric Urology, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina More articles by this author Hugo Rodríguez Section on Pediatric Urology, Sanatorio Trinidad Mitre, Buenos Aires, Argentina More articles by this author María Ormaechea Section on Pediatric Urology, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina More articles by this author Carlos Giuseppucci Section on Pediatric Urology, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina More articles by this author Francisco de Badiola Section on Pediatric Urology, Department of Pediatrics, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina More articles by this author Juan Bortagaray Section on Pediatric Urology, Hospital Posadas, Buenos Aires, Argentina More articles by this author Carlos Perea Section on Pediatric Urology, Hospital Posadas, Buenos Aires, Argentina More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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• W2048811045 title "Simplified Surgical Approach to Congenital Megaprepuce: Fixing, Unfurling and Tailoring Revisited" @default.
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