Effectiveness of modified Brisson surgery in treatment of severe concealed penis_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

CHEN Haichen , WU Yonglong ,  XU Yanbo

Department of Pediatric Surgery, Xiamen Maternity and Child Healthcare Hospital, Xiamen Fujian, 361003, P.R.China;

Corresponding?author：

XU Yanbo, Email: 769389496@qq.com

Keywords：

Severe concealed penis; modified Brisson surgery; congenital malformation

DOI：

10.7507/1002-1892.201806118

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

ObjectiveTo discuss the effectiveness of modified Brisson surgery in treatment of the severe and obviously obese concealed penis.MethodsA clinical data of 96 boys with severe concealed penis, of 53 cases combined with obviously obese, who were treated by modified Brisson surgery between January 2014 and August 2016, was retrospectively analysed. The children ranged in age from 1 year to 11 years and 9 months, with an average of 5 years and 3 months. The median longitudinal incision of the penis scrotum was used instead of the wedge-shaped skin incision at the junction of the penis and scrotum, which could completely expose the surgical field; fully release and removal of the abnormal meat membrane and fascia around the penis were performed; the propulsion and rotating flaps match the inner sheath of the foreskin was used to completely remove skin stenosis. Postoperative effectiveness was evaluated by Boemers standard.ResultsAll the incisions healed by first intention and no infection or necrosis of the foreskin flap occurred. Ninety-three cases were discharged from hospital after operation and followed up 1 year to 3 years and 6 months, with an average of 2 years and 4 months. Scrotal hematoma occurred in 2 cases within 48 hours, penile skin edema occurred in 5 cases, and scar hyperplasia in the penis scrotal corner incision occurred in 1 case at 1 month after operation. Postoperative exposure of the penis was good in 90 cases; there was no retraction of the penis in the upright position and sitting position; the family members were satisfied with the appearance of the penis. The penis were partially retracted in 3 cases, that affected the appearance of the penis during the sitting position.ConclusionThe modified Brisson surgery is one of the most effective methods to treat the severe and obviously obese concealed penis, with satisfactory effectiveness and less complication.

Citation： CHEN Haichen, WU Yonglong, XU Yanbo. Effectiveness of modified Brisson surgery in treatment of severe concealed penis. Chinese Journal of Reparative and Reconstructive Surgery, 2018, 32(12): 1581-1585. doi: 10.7507/1002-1892.201806118 Copy

1.	張金哲. 小兒外科學. 北京: 人民衛生出版社, 2013: 1400-1402.
2.	李旭良. 小兒隱匿陰莖的診斷與治療. 中華小兒外科雜志, 2011, 32(11): 859-860.
3.	Boemers TM, De Jong TP. The surgical correction of buried penis: a new technique. J Urol, 1995, 154(2 Pt 1): 550-552.
4.	Higuchi TT, Yamaguchi Y, Wood HM, et al. Evaluation and treatment of adult concealed penis. Curr Urol Rep, 2012, 13(4): 277-284.
5.	Shiraki IW, Shirai RS. Congenital micropenile skin sleeve. J Urol, 1975, 114(3): 469-472.
6.	Johnston JH. Concealed (beried) penis//Divid-Frank JV, Johnston JH, eds. Opervtive pediatric urology. Edinburgh: Churchil Livingstone, 1990: 233-235.
7.	Maizels M, Zaontz M, Donovan J, et al. Surgica1 correction of the buried penis: description of a classification system and a technique to correct disorder. J Urol, 1986, 136(1 Pt 2): 268-271.
8.	Devine CJ. Concealed and webbed penis//Himan F, eds. Atlas of pediatric urologic surgery. Philadeplia: Saunders, 1994: 608.
9.	Brisson P, Patel H, Chan M, et al. Penoplasty for buried penis in children: report of 50 cases. J Pediatr Surg, 2001, 36(3): 421-425.
10.	Kim JJ, Lee DG, Park KH, et al. A novel technique of concealed penis repair. Eur J Pediatr Surg, 2014, 24(2): 158-162.
11.	周學鋒, 張文, 朱天琦, 等. 改良 Shiraki 手術治療隱匿性陰莖. 中華小兒外科雜志, 2011, 32(11): 805-808.
12.	Salgado CJ, Monstrey S, Hoebeke P, et al. Reconstruction of the penis after surgery. Urologic Clinicsof North America, 2010, 37(3): 379-401.
13.	李旭良, 龔以榜, 林濤, 等. 小兒埋藏性陰莖的診斷與外科治療. 中華小兒外科雜志, 1996, 17(4): 215-217.
14.	楊光華, 張先覺, 周家杰, 等. 應用改良 Devine 術治療小兒隱匿陰莖. 中華小兒外科雜志, 2005, 26(2): 68-70.
15.	楊華軍, 徐哲明, 唐達星, 等. Sugita 法治療重度隱匿陰莖. 中華小兒外科雜志, 2010, 31(6): 480-482.
16.	Mirastschijski U, Schwenke C, Melchior S, et al. Buried penis: A comprehensive review on aetiology, classification and plastic-surgical reconstruction. Handchir Mikrochir Plast Chir, 2017, 49(2): 78-84.

1. 張金哲. 小兒外科學. 北京: 人民衛生出版社, 2013: 1400-1402.
2. 李旭良. 小兒隱匿陰莖的診斷與治療. 中華小兒外科雜志, 2011, 32(11): 859-860.
3. Boemers TM, De Jong TP. The surgical correction of buried penis: a new technique. J Urol, 1995, 154(2 Pt 1): 550-552.
4. Higuchi TT, Yamaguchi Y, Wood HM, et al. Evaluation and treatment of adult concealed penis. Curr Urol Rep, 2012, 13(4): 277-284.
5. Shiraki IW, Shirai RS. Congenital micropenile skin sleeve. J Urol, 1975, 114(3): 469-472.
6. Johnston JH. Concealed (beried) penis//Divid-Frank JV, Johnston JH, eds. Opervtive pediatric urology. Edinburgh: Churchil Livingstone, 1990: 233-235.
7. Maizels M, Zaontz M, Donovan J, et al. Surgica1 correction of the buried penis: description of a classification system and a technique to correct disorder. J Urol, 1986, 136(1 Pt 2): 268-271.
8. Devine CJ. Concealed and webbed penis//Himan F, eds. Atlas of pediatric urologic surgery. Philadeplia: Saunders, 1994: 608.
9. Brisson P, Patel H, Chan M, et al. Penoplasty for buried penis in children: report of 50 cases. J Pediatr Surg, 2001, 36(3): 421-425.
10. Kim JJ, Lee DG, Park KH, et al. A novel technique of concealed penis repair. Eur J Pediatr Surg, 2014, 24(2): 158-162.
11. 周學鋒, 張文, 朱天琦, 等. 改良 Shiraki 手術治療隱匿性陰莖. 中華小兒外科雜志, 2011, 32(11): 805-808.
12. Salgado CJ, Monstrey S, Hoebeke P, et al. Reconstruction of the penis after surgery. Urologic Clinicsof North America, 2010, 37(3): 379-401.
13. 李旭良, 龔以榜, 林濤, 等. 小兒埋藏性陰莖的診斷與外科治療. 中華小兒外科雜志, 1996, 17(4): 215-217.
14. 楊光華, 張先覺, 周家杰, 等. 應用改良 Devine 術治療小兒隱匿陰莖. 中華小兒外科雜志, 2005, 26(2): 68-70.
15. 楊華軍, 徐哲明, 唐達星, 等. Sugita 法治療重度隱匿陰莖. 中華小兒外科雜志, 2010, 31(6): 480-482.
16. Mirastschijski U, Schwenke C, Melchior S, et al. Buried penis: A comprehensive review on aetiology, classification and plastic-surgical reconstruction. Handchir Mikrochir Plast Chir, 2017, 49(2): 78-84.

Chinese Journal of Reparative and Reconstructive Surgery

Effectiveness of modified Brisson surgery in treatment of severe concealed penis

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content