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A simple modified method to correct buried penis in children and the techniques to reduce postoperative edema Taiwai Chin, MD Pediatric Surgery, Veterans.

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Presentation on theme: "A simple modified method to correct buried penis in children and the techniques to reduce postoperative edema Taiwai Chin, MD Pediatric Surgery, Veterans."— Presentation transcript:

1 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 缺少外皮 包皮固定不良 包皮固定不良 脂肪太厚 脂肪太厚

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

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

5 中度缺少包皮 中度缺少包皮 中度皮下脂肪 中度皮下脂肪 30%

6 包皮不缺 包皮不缺 脂肪很厚 脂肪很厚 s/p ratio >70%.s/p ratio >70%. Group C

7 137 patients/3 years Group A (n=20) Mean age: 3.4 years Group A (n=20) Mean age: 3.4 years Group B (n=60) Mean age: 9.6 years Group B (n=60) Mean age: 9.6 years Group C (n=55) Mean age: 9.5 years 9.5 years Group C (n=55) Mean age: 9.5 years 9.5 years 10 operated 10 operated 22 operated 22 operated Not included

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

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

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

11 Immediate postop Result

12 Postop 1 week Result

13 Postop 1 month Result


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