Micropenis is a hormonal problem that takes place sometime after 14 weeks gestation when the penis has already formed.Ībsent penis, or penile agenesis, is very rare, occurring in fewer than 1 in 20 million boys. Routine circumcision of a webbed penis or circumcision when there is significant scrotal swelling (from a hydrocele or hernia) can lead to trapped penis. It is common in infants and toddlers, and occasionally seen in older children and obese adolescents.Ĭhildren are not born with trapped penis circumcision causes it. Some children are born with a concealed penis (also known as buried penis or hidden penis), and for some it happens after circumcision. Webbed penis usually causes no problems (unless a routine circumcision is later performed). Who gets inconspicuous penis? Boys can be born with a webbed penis, or the condition can result from an over-exuberant circumcision where adhesions form between the scrotal skin and the penile skin. I will describe webbed penis, concealed penis, trapped penis, micropenis, and absent penis. Several very different situations are lumped into this category. When a penis appears absent or too small, we call the condition inconspicuous penis. The good news is that the outlook is bright. How disconcerting to parent s when a boy’s penis seems to disappear, either at birth or shortly thereafter. In the last generation, many of us have seen evidence of our children’s sex on ultrasound even before they were born, but still at the birth look to see. It’s also one of the first things we report to family and friends. All rights reserved.When we first glimpse our children in the delivery room, their sex is one of the immediate things we notice. Short term outcome showed good cosmetic and functional results with parental satisfaction.īuried penis Circumcision Penile degloving Webbed penis.Ĭopyright © 2021 Journal of Pediatric Urology Company. It could correct all types of congenital webbed penis. This described technique is simple and feasible. But, absence of a comparative group is considered a limitation however, the versatility of this technique overcomes this limitation. 2004 (9), this modified technique is versatile for correction of different grades of congenital webbed penis without leaving a scar at the penoscrotal angle. In this study, we presented a technical modification of previously described technique by Frenkl et al. Parental satisfaction was obtained for all patients.Ĭurrently, there is no current single technique suitable for the correction of all grades of webbed penis. At the 6 months follow-up, we had two patients with persistent mild grade I webs, with a success rate of 98.13%. The median follow-up period was 19 months. Five patients (4.7%) developed self-limited postoperative penile edema, two (1.9%) developed wound infections, and two (1.9%) had a self-limited scrotal hematoma. The median age was 9 (range, 6-40) months, and the median operative time was 55 (range, 50-65) min. Assessments of surgical outcomes and parents' satisfaction were done during follow up visits. The principles include complete penile degloving with excision of all abnormal scrotal dartos attached to the penile shaft, creation of a well-defined penoscrotal angle by penoscrotal fixation sutures and the short ventral skin was compensated from the prepuce with circumcision. A technical modification of previously described technique by Frenkl et al. Thorough clinical examination to determine the degree of webbed penis and associated anomalies were done. This prospective study was conducted on boys with congenital webbed penis. To evaluate the surgical outcome of penile degloving, excision of abnormal dartos fascia with penoscrotal fixation sutures to correct different grades of congenital webbed penis. However, there is no single one versatile for correction of different grades. Different techniques are available for correction of congenital webbed penis. It reflects abnormal attachment of the scrotal skin to different ventral penile shaft levels, possibly due to abnormal scrotal dartos insertion. Webbed penis is a cause of concealed penis.
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