![]() ![]() The suggested method of buried penis repair using Midline Incision Rotation Flaps technique allows to obtain the most satisfactory both cosmetic and functional results with minimal complication risk.Ĭopyright © 2020 Elsevier Inc. The results showed that size and appearance are close to natural and satisfying to parents of the patients. 16 patients (89%) obtained good results, and 2 patients (11%) - satisfactory. The median age of patients was 1.4 years with a median follow-up of 56 months (range 36-72). Uneven excessive skin is dissected and interrupted skin sutures are placed. The skin defect along the ventral surface is covered with rotated triangular skin flaps with nourishing vessels. ![]() Then, the edges of the skin flaps are opened, forming Byar's flaps. Next stage is the formation of the peno-scrotal and peno-pubic angles by fixation of the skin at the base of the penis. The crus of penis is attached to the pubic arch. It lies within the superficial perineal pouch. Excessive subcutaneous fat tissues are removed from the peno-pubic area. Anatomy Lateral cross section of the penis Parts Root of the penis (radix): It is the attached part, consisting of the bulb of penis in the middle and the crus of penis, one on either side of the bulb. Following, a circumferential incision along the coronal edge allows to perform full degloving. The surgery commences with a midline longitudinal skin incision on the ventral surface. Parents filled out postoperative survey after 1 month. The results were assessed by the surgeon 1, 3, 6 months after surgery, then yearly. We retrospectively analyzed results of 18 patients who underwent buried penis surgical treatment according to the Midline Incision Rotational Flaps technique from 2013 to 2016. To improve cosmetic and functional results of buried penis correction in boys using a modified universal surgical approach - Midline Incision Rotation Flaps. ![]()
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