Analysis Between Johnston’s And Modified Devine’s Surgical Treatment Of Concealed Penis In69Case

Objectives: To explore the postoperative efficacy of Johnston’s and modified Devine’ssurgical treatment of concealed penis in69case and the surgery choice for differenttype of concealed penis surgical.Methods: A retrospective review of69patients underwent different surgical correction(Johnston’s technique and modified Devine’s technique) of concealed penis between2003and2012was performed.32cases with Johnston’s technique, seam a traction lineto the glans, expand the foreskin, completely free the adhesions of the foreskin, thentake a circular incision on the base of penis, separate to the albuginea penis, If the penileskin bloated then triangle cut skin flap in the ventral penile，sutured the subcutaneoustissue of the penis with the direction of the Coronal to the base of penis and theperiosteum of pubis in order to expose the glans.37cases with the modified Devine’stechnique, First longitudinal incision of about1.0cm from the back side of the foreskin,and then transverse circumcision foreskin make it completely sets off to the base ofpenis. Excision the dysplasia streak organization at dorsal penis，extend the transverseincision and confluence with the contralateral, excluding sarcolemma and cords on theventral surface to the base of penis. The fat pad requires excision if the patientsuprapubic fat pad is thicker, then fixed the skin of lower abdominal to the pubic area.Make a small incision on both side of the base of penis and fix the skin on the albuginea,interrupted suture the penis skin. Two kinds of surgical procedures are fixed withelasticity gauze. The mean follow-up of3years.The increased length of penile after operation was compared among the2groups with different surgical techniques bystatistical method.Results: There is no obvious abnormalities in patients with penis development andexposed well. The erectile function in all patients without obvious abnormalities.Thepostoperative increased1ength of penile in Johnston’s technique and modified Devine’stechnique was (1.5～2.5cm),(2.2～3.0cm). Dismantle the elastic bandage in5days afterthe surgical treatment. The complication of severe penile lymphedema of2groupsdeveloped in10and3patients respectively．The patients with the penis swollen are alldissipated after3weeks. The difference of postoperative increased1ength wassignificant by t-test(P<0.001).Conclusions: Modified Devine’s technique has the satisfactory increasing of penilelength for treatment of concealed penis and less penile lymphedema after operation.