الفهرس | Only 14 pages are availabe for public view |
Abstract Buried penis, is a congenital defect of male external genitalia which disturbs its shape and function, This anomaly is commonly related to lack of outer penile skin, weak attachment of subcutaneous tissue to the superficial fascia and small prepuce opening . It is less than 4% newborn males. Many classifications for buried penis, some was made according to pathology and other according to intra operative findings. Many surgical techniques were made for repair of buried penis most of them concerned on degloving of penis and cut of abnormal fibers with fixation of penis to skin and some without fixating sutures. In this thesis 40patients with buried penis were divided into two groups: group 1 was 20 cases who had been operated with doing degloving only , group2 was also 20 cases who had been operated with doing degloving and fixation , the mean age for each group was 4,9 years. , the mean operative time for each group was 34.75 minutes and 40.25 minutes with significant statistical difference. In this study, there is no obvious distinction between the two procedures except the operative time, and difference in penile length post operative after 6 months especially in severe buried penis. Both two techniques had significant statistically difference in gaining penile length post operative. In the current research we concluded that just degloving is accompanied by lower occurrence of penile rotation than fixation but less effective in gaining post operative penile length in severe cases . Although fixation repair has a significantly more time consumption than degloving alone, it is more effective on the long run. Both of them have good outcomes. Accordingly, this study had approved that just degloving and degloving associated with fixation repair related to effective penile length gaining and few problems. |