ESPU Congress 2017 - Abstract book

214

CONGRESS OF THE ESPU

S19-14 (P without presentation)

MEGAPREPUCE RECONSTRUCTION: TEN YEARS

EXPERIENCE

Miguel PODESTA(JR)

, Roberto CASTERA

and Miguel PODESTA

1) Hospital de Niños Dr Ricardo Gutierrez, Urology Unit, Department of Surgery, Buenos Aires, ARGENTINA -

2) Hospital de Ninos Dr Ricardo Gutierrez, Urology Unit, Department of Surgery, Buenos Aires, ARGENTINA

PURPOSE

Megaprepuce is a rare development abnormality characterized by a redundant internal layer of the

prepuce covering a normal sized penis.

We report our experience with a simple and reliable surgical technique in 15 patients with megapre-

puce treated in our hospital between 2005 and 2015. Mean age was 9 months (3-20).

MATERIAL AND METHODS

A transverse ventral incision was performed between scrotal and penile skin. Apical and lateral

scrotal skin extensions were dissected from the penile skin on either side. An incision was then

performed along the midline of the ventral penile and preputial skin; opening the preputial sac and

everting its inner layer. Redundant inner preputial skin was excised, leaving a cuff of mucosa under

the glans. A tissue plane was developed along Buck’s fascia on both sides of the penile shaft.

Scrotal flaps were mobilized beneath the penis and sutured in the midline.The outer preputial layer

and the dorsal penile skin was transposed ventrally around the shaft and closed in a vertical line.

Finally, penile skin was sutured to the proximal mucosal cuff and to the scrotal skin.

RESULTS

After surgical repair all patients recovered a normal micturition pattern and the cosmetic aspect was

considered satisfactory. Two patients developed ventral midline skin dehiscence at the penoscrotal

junction that subsided by secondary epithelial ingrowth. One patient suffered a scrotal hematoma.

Mean follow-up was 3, 6 years.

CONCLUSIONS

This procedure has similarities to other surgical repairs described to treat patients with megapre-

puce; and provides adequate anatomic and satisfactory genital appearance.

S19-15 (P without presentation)

ADEQUATE PERI-OPERATIVE MANAGEMENT DECREASES

COSMETIC COMPLICATIONS AFTER CIRCUMCISION

WITH DISPOSABLE RING IN CHILDREN

Abdul Rauf KHAN , Atif SAEED, Mohammed Ruhul AMIN, Murtaza KHANBHAI,

Samantha Jane HARRISON and Darrel GREGORY

Thonhill Circumcision Centre, General Practice clinic, Luton, UNITED KINGDOM

PURPOSE

We reviewed our experience in treating children with cosmetic complications following non-

therapeutic male circumcision (NMC) with Plastibell and Circumplast devices at a community clinic.

This study highlights the factors leading to these complications and clinical management to improve

the cosmetic appearance.