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• W3104175755 abstract "To evaluate the effectiveness of pedicled skin flap of foreskin for phalloplasty and Sugita surgical method in the treatment of complete concealed penis.The clinical data of 46 children with complete concealed penis between January 2016 and January 2018 were analyzed retrospectively. Among which, 25 cases were treated with pedicled skin flap of foreskin for phalloplasty (group A) and 21 cases were treated with Sugita surgical method (group B) with an average age of 4.7 years (range, 2 years and 8 months to 11 years). At 3 months after operation, the concealed penis recovery was scored from three aspects of postoperative penis length (the difference of the penis length between at 3 months after operation and before operation), penis appearance, and skin appearance (the total score was 10). And the parents evaluation of satisfaction degree of penis exposure, penis appearance, and foreskin appearance after surgical correction was collected.Eighteen cases (72.0%) in group A and 15 cases (71.4%) in group B were followed up with an average of 13 months (range, 3-36 months). The incisions healed well in both groups, and there was no flap dehiscence, infection, necrosis, and penile erectile dysfunction. The penile length of the two groups increased significantly at 3 months after operation ( P<0.05); there was no significant difference between the two groups in terms of penis length and increased length at 3 months after operation and score of increase penis length after operation ( P>0.05). No penile retraction occurred in the two groups. And there was no significant difference between the two groups in penis appearance score, but the penis appearance score, skin appearance score, and total score of group A were significantly better than those of group B ( P<0.05). At 3 months after operation, the satisfaction rate of penis exposure in group A and group B was 88.9% and 80.0%, respectively, with no significant difference ( χ2=0.50, P=0.48); the satisfaction rate of penis appearance was 72.2% and 53.3%, and the satisfaction rate of foreskin appearance was 94.4% and 53.3%, respectively, and the differences were significant ( χ2=5.13, P=0.03; χ2=7.53, P=0.01).Both surgical methods are suitable for correction of complete concealed penis, and the penile length gets a satisfactory recovery. However, the lymphedema of the prepuce after Sugita surgical method is serious, which can easily lead to poor appearance of the penis after operation. In general, the effectiveness of pedicled skin flap of foreskin for phalloplasty is better than that of the Sugita surgical method.比较带蒂岛状包皮瓣阴茎成形术与 Sugita 术矫治完全型隐匿阴茎的疗效。.回顾分析 2016 年 1 月—2018 年 1 月收治的 46 例完全型隐匿阴茎患儿临床资料，其中采用带蒂岛状包皮瓣阴茎成形术治疗 25 例（A 组），Sugita 术治疗 21 例（B 组）。年龄 2 岁 8 个月～11 岁，平均 4.7 岁。术后 3 个月从术后阴茎增加长度（术后 3 个月阴茎长度与术前的差值）、阴茎外观、皮肤外观三方面对隐匿阴茎恢复情况进行评分（总分 10 分）；收集患儿家长对手术矫治后阴茎显露情况、阴茎外观及包皮外观的满意程度评价。.术后 A 组 18 例（72.0%）、B 组 15 例（71.4%）患儿获完整随访，随访时间 3～36 个月，平均 13 个月。两组患儿切口均愈合良好，无皮瓣裂开、感染、坏死及阴茎勃起功能障碍发生。两组患儿术后 3 个月阴茎长度均较术前显著增加（ P<0.05）；两组间比较术前、术后 3 个月阴茎长度及增加长度，以及术后阴茎增加长度评分，差异均无统计学意义（ P>0.05）。两组患儿术后均未出现阴茎回缩症状。两组患儿术后阴茎外观评分比较差异无统计学意义，但 A 组皮肤外观评分及总分均显著优于 B 组（ P<0.05）。术后 3 个月患儿家长满意程度评价显示，A、B 组术后阴茎显露情况满意率分别为 88.9%、80.0%，差异无统计学意义（ χ2=0.50， P=0.48）；阴茎外观满意率分别为 72.2%、53.3%，包皮外观满意率分别为 94.4%、53.3%，差异均有统计学意义（ χ2=5.13， P=0.03； χ2=7.53， P=0.01）。.两种术式均适合于完全型隐匿阴茎的矫治，术后阴茎长度均恢复良好；但 Sugita 术后阴茎包皮淋巴水肿严重，阴茎外观较差；带蒂岛状包皮瓣阴茎成形术矫治效果优于 Sugita 术。." @default.
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• W3104175755 date "2020-11-15" @default.
• W3104175755 modified "2023-09-27" @default.
• W3104175755 title "[Comparison of pedicled skin flap of foreskin for phalloplasty and Sugita surgical method in treatment of complete concealed penis]." @default.
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• W3104175755 doi "https://doi.org/10.7507/1002-1892.202004165" @default.
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