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COMPLETED
NCT07615439

Surgical Repair of Pediatric Concealed Penis is Generally Safe and Efficacious. Criteria for Pediatric Concealed Penis Surgical Success Are Still Poorly Standardized, so Our Study Presents a Multi-dimensional Framework Consisting of Morphometric Measurements and Subjective Psychometric Parameters.

Sponsor: Eslam Saad Hamza

View on ClinicalTrials.gov

Summary

A concealed penis (CP) refers to a condition in which the normally-sized penis appears smaller or completely hidden in the prepubic area. Surgical repair of pediatric concealed penis is generally safe and efficacious. Criteria for pediatric concealed penis surgical success are still poorly standardized, so our study presents a multi-dimensional framework consisting of objective morphometric measurement (CI) and subjective psychometric tools (BP Questionnaire and MPPPS) for comprehensive evaluation of long-term anatomical, functional and aesthetic outcomes following the repair.

Official title: A Standardized Multidimensional Framework for Long-Term Outcomes Following Pediatric Concealed Penis Repair: A Prospective Cohort Study.

Key Details

Gender

MALE

Age Range

1 Year - 12 Years

Study Type

OBSERVATIONAL

Enrollment

75

Start Date

2023-12-01

Completion Date

2025-12-01

Last Updated

2026-05-29

Healthy Volunteers

No

Conditions

Interventions

PROCEDURE

penoplasty by complete penile degloving to release all anomalous restrictive attachments, followed by phallopexy via proper fixation of the penile base

Under GA, in the supine position, a 5/0 vicryl traction suture was applied to the glans penis. A circumferential incision was made, leaving about 5 mm of collar mucosa below the coronal sulcus. In subdartos plane, the penis was completely degloved to its base at the peno-pubic angle dorsally and to the peno-scrotal angle ventrally. All dysgenetic dartos attachments were sharply excised using scissors . Hemostasis was maintained using bipolar diathermy. A two-point penile fixation technique was performed utilizing 4/0 PDS (polydioxanone) sutures, as the penile base was anchored to pubic fascia, at 2 and 10 o'clock positions . Then dermis of penile skin is sutured to Buck's fascia at the the penile base and the midshaft using 5/0 PDS sutures on both sides of the dorsal neurovascular bundle. Following the excision of redundant preputial skin, the remaining skin was approximated to collar mucosa by interrupted 6/0 Vicryl stitches . A compression dressing soaked wit

Locations (1)

Omar Afandy

Kafr ash Shaykh, Egypt