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TÜRKÇE
Oral Presentation - 41
Webbed Penis with or without Hypospadias: A Decade of Experience
SM Shehata
Department of Pediatric Surgery, Department of Surgery, Tanta University Hospital, Tanta, Egypt
Background/ Purpose:Webbed penis is a disease includes a high insertion of the scrotum ventrally (penoscrotal web), penoscrotal band and definite true web. This penile anomaly may associate hypopsadias or not. This study was carried out to present such case series of the rare anomaly along one decade in children.
Patients and Methods:42 boys with webbed penis had been treated over 10 years. This group was collected in the last 10 years from Tanta University Hospital and other affiliated hospitals. Thirteen cases had associated hypospadias while the remaining 29 cases have no hypospadias.
Results:This study included 42 males with the age ranged from 1 to 13 years. 13 cases associated with hypospadias of distal type except one of mid penile type. The hyposapdias group constitute group A where 8 of webbed penis variety, 4 of penoscrotal band and one of true penoscrotal web. The remaining 29 cases constitutes group B where 8 of penoscrotal band and 21 of webbed penis variety. In all cases even with hyopspadias we dealt with the web before the hyposapdias repair in the same sessioin to make proximal straightening and no associated distal chordee in these 13 cases. We repaired cases of band or true web by excision while we used the inverted V – T technique to correct the webbed penis. All cases doing well at the follow up period that ranged between 6 and 126 months. Residual shortening reported once and mild ventral curvature twice.
Conclusions: This series documents the existence of this rare group of penile anomaly even reports the true penoscrotal web. In cases associated with hypospadias correction of the proximal chordee results in alleviation of chordee and no distal chordee were expected. Inverted V- T technique is an excellent technique for correction of webbed penis and scar is hidden in the penoscrotal junction with minimal complications reported in the long follow up period.
Webbed Penis with or without Hypospadias: A Decade of Experience
SM Shehata
Department of Pediatric Surgery, Department of Surgery, Tanta University Hospital, Tanta, Egypt
Background/ Purpose:Webbed penis is a disease includes a high insertion of the scrotum ventrally (penoscrotal web), penoscrotal band and definite true web. This penile anomaly may associate hypopsadias or not. This study was carried out to present such case series of the rare anomaly along one decade in children.
Patients and Methods:42 boys with webbed penis had been treated over 10 years. This group was collected in the last 10 years from Tanta University Hospital and other affiliated hospitals. Thirteen cases had associated hypospadias while the remaining 29 cases have no hypospadias.
Results:This study included 42 males with the age ranged from 1 to 13 years. 13 cases associated with hypospadias of distal type except one of mid penile type. The hyposapdias group constitute group A where 8 of webbed penis variety, 4 of penoscrotal band and one of true penoscrotal web. The remaining 29 cases constitutes group B where 8 of penoscrotal band and 21 of webbed penis variety. In all cases even with hyopspadias we dealt with the web before the hyposapdias repair in the same sessioin to make proximal straightening and no associated distal chordee in these 13 cases. We repaired cases of band or true web by excision while we used the inverted V – T technique to correct the webbed penis. All cases doing well at the follow up period that ranged between 6 and 126 months. Residual shortening reported once and mild ventral curvature twice.
Conclusions: This series documents the existence of this rare group of penile anomaly even reports the true penoscrotal web. In cases associated with hypospadias correction of the proximal chordee results in alleviation of chordee and no distal chordee were expected. Inverted V- T technique is an excellent technique for correction of webbed penis and scar is hidden in the penoscrotal junction with minimal complications reported in the long follow up period.