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Veterans General Hospital, Taipei National Yangming University

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Presentation on theme: "Veterans General Hospital, Taipei National Yangming University"— Presentation transcript:

1 Veterans General Hospital, Taipei National Yangming University
A simple modified method to correct buried penis in children and the techniques to reduce postoperative edema Taiwai Chin, MD Pediatric Surgery, Veterans General Hospital, Taipei National Yangming University

2 埋藏性陰莖(Buried Penis) 缺少外皮 包皮固定不良 脂肪太厚

3 Penile skin/penile shaft ratio
Skin length (S) Shaft length (P) S/P= Skin length / Shaft length x100%

4 Group A 嚴重缺少包皮 脂肪不厚 s/p ratio < 30%.

5 Group B 中度缺少包皮 中度皮下脂肪 30%<s/p ratio<70%.

6 Group C 包皮不缺 脂肪很厚 s/p ratio >70%.

7 137 patients/3 years Group A (n=20) Mean age: 3.4 years Group B (n=60)
Group C (n=55) Mean age: 9.5 years 10 operated 22 operated Not included

8 手術原因 有症狀 感染 (n=5) 包皮開口狹窄 (n=6) 外觀異常 (n=21)

9 Surgical Procedure 1 2 4 3 不需導尿 不需作院 Inner prepuce Outer prepuce
Fixation at Buck’s fascia 4 3 不需導尿 不需作院

10 Surgical Procedure -compare with original unfurling-
Modified Inner prepuce Original Outer prepuce

11 Result Immediate postop Immediate postop

12 Result Postop 1 week Postop 1 week

13 Result Postop 1 month Postop 1 month


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