Devine's technique with free skin grafting for concealed penis with prepuce deficit
Xu, X.-W.; Xu, Y.-T.; Shen, Z.-J.; Li, D.-J.; Gu, W.; Huang, R.-Q.
Zhonghua Nan Ke Xue 17(7): 625-627
2011
ISSN/ISBN: 1009-3591 PMID: 21823347 Document Number: 652588
To investigate the clinical effect of Devine's technique with free skin grafting in the treatment of concealed penis with prepuce deficit. This study included 7 children with concealed penis, aged 6 - 15 (mean 8.6) years, 6 of them treated by circumcision previously. All the patients underwent Devine's operation to resect the inelasticity sarcolemma and lengthen the penis. The length of prepuce deficit ranged from 2 to 4 cm. Intermediate split thickness skin grafts of the corresponding length were taken from the femoribus internus to wrap up the tunica albuginea penis, followed by the procedures of saturation, encapsulation and fixation. Surgery time ranged from 70 to 120 minutes, averaging 90.5 minutes. The penis was prolonged about 2 - 4 cm after surgery. A 6-month follow-up revealed desirable penile appearance and normal penile erection. Devine's technique with free skin grafting from the femoribus internus is an ideal treatment for concealed penis with prepuce deficit.