Effectiveness of penis up transfer method for penoscrotal transposition in children_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WU Yonglong , HU Yang , WANG Shoufu , XU Bo , XU Yanbo ,  CHEN Haichen

Department of Pediatric Surgery, Affiliated Women and Children’s Hospital, Xiamen University, Xiamen Fujian, 361003, P. R. China;

Corresponding?author：

CHEN Haichen, Email: 769389496@qq.com

Keywords：

Penoscrotal transposition; penis up transfer method; M-shaped scrotal flap method

DOI：

10.7507/1002-1892.202201010

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To investigate the effectiveness of penile up transfer method in the treatment of penoscrotal transposition (PST) in children. Methods A clinical data of 46 children with PST admitted between January 2015 and March 2021 and met selective criteria was retrospectively analyzed. The M-shaped scrotal flap method was adopted in 21 cases (group A), and the penile up transfer method was adopted in 25 cases (group B). There was no significant difference in age and PST typing between the two groups (t=0.491, P=0.626; χ²=0.710, P=0.790). The operation time and postoperative complications of the two groups were recorded and compared, and the correction effect of PST was evaluated. Results All operations were successfully completed, and no urethral injury occurred during operation. The operation time was significantly less in group B than in group A [(70.36±9.76) minutes vs. (96.62±13.18) minutes; t=7.553, P=0.000]. All children were followed up 6-33 months (mean, 13.2 months). There were 5 cases (23.8%) of skin necrosis and 6 cases (28.6%) of scar hyperplasia in group A, and 1 case (4.0%) of skin necrosis and 1 case (4.0%) of scar hyperplasia in group B. The incidence of complication was significantly lower in group B than in group A (χ²=3.949, P=0.047; χ²=5.341, P=0.021). In the evaluation of PST correction at 6 months after operation, there were 15 cases of complete correction and 6 cases of incomplete correction in group A, 24 cases of complete correction and 1 case of incomplete correction in group B, and the difference was significant (χ²=5.341, P=0.021). Conclusion The penis up transfer method is not only easy to correct PST, but also can correct scrotal separation at the same time, with fewer postoperative complications and satisfactory correction effect of penile scrotal appearance.

Citation： WU Yonglong, HU Yang, WANG Shoufu, XU Bo, XU Yanbo, CHEN Haichen. Effectiveness of penis up transfer method for penoscrotal transposition in children. Chinese Journal of Reparative and Reconstructive Surgery, 2022, 36(6): 776-780. doi: 10.7507/1002-1892.202201010 Copy

1.	Fahmy M, Alshennawy A, Edress A M. Spectrum of penoscrotal positional anomalies in children. Int J Surg, 2014, 12(9): 983-988.
2.	Cüneyd zkürkügil, Zkan L, Saribacak A. Abnormalities of the external genitalia in school-age boys in Turkey: A contemporary epidemiologic evaluation. Turkiye Klinikleri Journal of Medical Sciences, 2011, 31(2): 371-374.
3.	Chung JL, Choi JR, Park MS, et al. A case of del(13)(q22) with multiple major congenital anomalies, imperforate anus and penoscrotal transposition. Yonsei Med J, 2001, 42(5): 558-562.
4.	Garcia NM, Allgood J, Santos LJ, et al. Deletion mapping of critical region for hypospadias, penoscrotal transposition and imperforate anus on human chromosome 13. J Pediatr Urol, 2006, 2(4): 233-242.
5.	Chadha R, Mann V, Sharma A, et al. Complete penoscrotal transposition and associated malformations. Pediatr Surg Int, 1999, 15(7): 505-507.
6.	Pinke LA, Rathbun SR, Husmann DA, et al. Penoscrotal transposition: review of 53 patients. J Urol, 2001, 166(5): 1865-1868.
7.	唐勇, 李養群, 楊喆, 等. 陰莖陰囊轉位的整形外科治療. 中華整形外科雜志, 2016, 32(5): 351-353.
8.	康春生, 王曉路, 張風翔. 尿道下裂合并陰莖陰囊轉位的外科治療. 中華外科雜志, 1995, 33(5): 298-300.
9.	Dresner ML. Surgical revision of scrotal engulfment. Urol Clin North Am, 1982, 9(2): 305-310.
10.	Kolligian ME, Franco I, Reda EF. Correction of penoscrotal transposition: a novel approach. J Urol, 2000, 164(3 Pt 2): 994-997.
11.	李旭良, 龔以榜. 一期手術治療伴有陰莖陰囊轉位的尿道下裂. 中華泌尿外科雜志, 1992, 13(1): 58-60.
12.	DeFoor W, Wacksman J. Results of single staged hypospadias surgery to repair penoscrotal hypospadias with bifid scrotum or penoscrotal transposition. Journal of Urology, 2003, 170(4 Pt 2): 1585-1588.
13.	Arena F, Romeo C, Manganaro A, et al. Surgical correction of penoscrotal transposition associated with hypospadias and bifid scrotum: our experience of two-stage repair. J Pediatr Urol, 2005, 1(4): 289-294.
14.	Ozturk H, Ozturk S. Penile rotation and penoscrotal transposition associated with hypospadias and bifid scrotum: A case report. Pediatric Urology Case Reports, 2014, 1(5): 5-9.
15.	阿布都賽米·阿不都熱衣木, 湯梁峰, 阮雙歲, 等. 尿道下裂伴陰莖陰囊轉位的診治 (附83例報告). 中華男科學雜志, 2014, 1(5): 5-9.
16.	Saleh A. Correction of incomplete penoscrotal transposition by a modified Glenn-Anderson technique. Afr J Paediatr Surg, 2010, 7(3): 181-184.
17.	Manjunath K, Venkatesh M. M-plasty for correction of incomplete penoscrotal transposition. World Journal of Plastic Surgery, 2014, 3(2): 138-141.
18.	Mori Y, Ikoma F. Surgical correction of incomplete penoscrotal transposition associated with hypospadias. J Pediatr Surg, 1986, 21(1): 46-8.
19.	唐耘熳, 王學軍, 毛宇, 等. M形皮瓣法矯治尿道下裂術后殘留陰莖陰囊轉位44例效果分析. 實用醫院臨床雜志, 2016, 13(4): 44-45.

1. Fahmy M, Alshennawy A, Edress A M. Spectrum of penoscrotal positional anomalies in children. Int J Surg, 2014, 12(9): 983-988.
2. Cüneyd zkürkügil, Zkan L, Saribacak A. Abnormalities of the external genitalia in school-age boys in Turkey: A contemporary epidemiologic evaluation. Turkiye Klinikleri Journal of Medical Sciences, 2011, 31(2): 371-374.
3. Chung JL, Choi JR, Park MS, et al. A case of del(13)(q22) with multiple major congenital anomalies, imperforate anus and penoscrotal transposition. Yonsei Med J, 2001, 42(5): 558-562.
4. Garcia NM, Allgood J, Santos LJ, et al. Deletion mapping of critical region for hypospadias, penoscrotal transposition and imperforate anus on human chromosome 13. J Pediatr Urol, 2006, 2(4): 233-242.
5. Chadha R, Mann V, Sharma A, et al. Complete penoscrotal transposition and associated malformations. Pediatr Surg Int, 1999, 15(7): 505-507.
6. Pinke LA, Rathbun SR, Husmann DA, et al. Penoscrotal transposition: review of 53 patients. J Urol, 2001, 166(5): 1865-1868.
7. 唐勇, 李養群, 楊喆, 等. 陰莖陰囊轉位的整形外科治療. 中華整形外科雜志, 2016, 32(5): 351-353.
8. 康春生, 王曉路, 張風翔. 尿道下裂合并陰莖陰囊轉位的外科治療. 中華外科雜志, 1995, 33(5): 298-300.
9. Dresner ML. Surgical revision of scrotal engulfment. Urol Clin North Am, 1982, 9(2): 305-310.
10. Kolligian ME, Franco I, Reda EF. Correction of penoscrotal transposition: a novel approach. J Urol, 2000, 164(3 Pt 2): 994-997.
11. 李旭良, 龔以榜. 一期手術治療伴有陰莖陰囊轉位的尿道下裂. 中華泌尿外科雜志, 1992, 13(1): 58-60.
12. DeFoor W, Wacksman J. Results of single staged hypospadias surgery to repair penoscrotal hypospadias with bifid scrotum or penoscrotal transposition. Journal of Urology, 2003, 170(4 Pt 2): 1585-1588.
13. Arena F, Romeo C, Manganaro A, et al. Surgical correction of penoscrotal transposition associated with hypospadias and bifid scrotum: our experience of two-stage repair. J Pediatr Urol, 2005, 1(4): 289-294.
14. Ozturk H, Ozturk S. Penile rotation and penoscrotal transposition associated with hypospadias and bifid scrotum: A case report. Pediatric Urology Case Reports, 2014, 1(5): 5-9.
15. 阿布都賽米·阿不都熱衣木, 湯梁峰, 阮雙歲, 等. 尿道下裂伴陰莖陰囊轉位的診治 (附83例報告). 中華男科學雜志, 2014, 1(5): 5-9.
16. Saleh A. Correction of incomplete penoscrotal transposition by a modified Glenn-Anderson technique. Afr J Paediatr Surg, 2010, 7(3): 181-184.
17. Manjunath K, Venkatesh M. M-plasty for correction of incomplete penoscrotal transposition. World Journal of Plastic Surgery, 2014, 3(2): 138-141.
18. Mori Y, Ikoma F. Surgical correction of incomplete penoscrotal transposition associated with hypospadias. J Pediatr Surg, 1986, 21(1): 46-8.
19. 唐耘熳, 王學軍, 毛宇, 等. M形皮瓣法矯治尿道下裂術后殘留陰莖陰囊轉位44例效果分析. 實用醫院臨床雜志, 2016, 13(4): 44-45.

Previous Article
Role of intercostal neurovascular perforator in lower abdominal flap

Chinese Journal of Reparative and Reconstructive Surgery

Effectiveness of penis up transfer method for penoscrotal transposition in children

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Format

Content