Parents were educated about wound care, time to remove the dressing, and warning signs before discharge. We followed the patients in the outpatient clinics after one week then after two and six months. 3).Īfter the procedure, patients were kept under observation for 20 min in the recovery room.
#WEBBED SCROTUM SKIN#
This oblique incision plan served to give equal cylindrical skin around the penial shaft (Fig.
In the webbed penis group, an oblique circumcision incision was marked with a slope up to give more ventral skin to compensate for the web. In the group with normal anatomy, the incision was marked parallel to the corona ridge. Marking was done to leave cylindrical skin with the same length around the penile shaft. Emla topical cream was applied before the procedure for anesthesia. Circumcision techniqueĬircumcisions were performed using a Gomco clamp and a standardized technique.
The surfaces of the penis were examined for the normal penopubic crease, junction, and prominent corona ridge. We examined the glans after retraction of the prepuce for the size and urethral meatus. The penile shaft should be more than three cm long and straight with no chordae or torsion. Patients' assessmentĬircumcision was offered to neonates with body weights greater than two kilograms and those with no history of bleeding diathesis or severe systemic illness. We obtained the approval of the Ethics Committee for the procedure and data collection of this study. We aimed to present the safety and feasibility of webbed penis correction for neonates under local anesthesia using a simple principle of leaving equal cylindrical shaft skin. Several studies have evaluated the outcomes of surgical repair of the primary ( 14) and post-circumcision ( 15) webbed penis. Surgical correction of the webbed penis in infancy had better long-term outcomes compared to adolescence repair. The penoscrotal web could be asymptomatic, and the condition is usually diagnosed during circumcision. Therefore, early surgical reconstruction of a penoscrotal web is recommended. Additionally, the condition may be associated with concomitant penoscrotal anomalies such as chordee, which causes further shortening of the ventral penis. The webbed penis may encompass a wide range of congenital deformities.
Consequently, there is an abnormal attachment of the dartos fascia to the penile shaft with an abnormally short ventral shaft. Ī skin fold tethers the scrotum to the ventral penis and obliterates the penoscrotal angle in patients with a webbed penis. In patients with normal penile anatomy, the outcomes of circumcision are satisfactory, while some surgeons consider circumcision is inappropriate in patients with a webbed penis. Circumcision of the penoscrotal web had good esthetic results with comparable outcomes to those with a normal penis without a web.Ĭircumcision is a commonly performed procedure on neonates and infants worldwide, and in Saudi Arabia, it is estimated that 97% of male newborns are circumcised. Simple penoscrotal web is not a contraindication for neonatal circumcision. Parents' satisfaction was measured at two weeks with no difference between both groups. The procedure success was significantly higher in Group 1 (449 (99.56%) vs. There were no differences in bleeding ( P = 0.38), redundant foreskin ( P > 0.99), need for corrective surgery ( P = 0.38), and re-suturing ( P = 0.28) between groups. The procedure time was significantly longer in Group 2 (8.05 ± 3.11 vs. There were no differences in age and weight between groups. We compared patients with normal penile anatomy ( n = 451, Group 1) to a simple webbed penis ( n = 79, Group 2). We included male patients aged less than four weeks old who had circumcision with a minimum of 6 months follow-up. This retrospective study included 530 patients who presented for circumcision to three pediatric surgery centers between May 2017 and January 2020. We presented the safety and feasibility of webbed penis correction for neonates under local anesthesia using a simple principle of leaving equal cylindrical shaft skin. Surgical correction of the webbed penis is challenging.
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