Effectiveness of penis up transfer method for penoscrotal transposition in children_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

WU Yonglong , HU Yang , WANG Shoufu , XU Bo , XU Yanbo ,  CHEN Haichen

Department of Pediatric Surgery, Affiliated Women and Children’s Hospital, Xiamen University, Xiamen Fujian, 361003, P. R. China;

Corresponding author：

CHEN Haichen, Email: 769389496@qq.com

Keywords：

Penoscrotal transposition; penis up transfer method; M-shaped scrotal flap method

DOI：

10.7507/1002-1892.202201010

Video：

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Objective To investigate the effectiveness of penile up transfer method in the treatment of penoscrotal transposition (PST) in children. Methods A clinical data of 46 children with PST admitted between January 2015 and March 2021 and met selective criteria was retrospectively analyzed. The M-shaped scrotal flap method was adopted in 21 cases (group A), and the penile up transfer method was adopted in 25 cases (group B). There was no significant difference in age and PST typing between the two groups (t=0.491, P=0.626; χ²=0.710, P=0.790). The operation time and postoperative complications of the two groups were recorded and compared, and the correction effect of PST was evaluated. Results All operations were successfully completed, and no urethral injury occurred during operation. The operation time was significantly less in group B than in group A [(70.36±9.76) minutes vs. (96.62±13.18) minutes; t=7.553, P=0.000]. All children were followed up 6-33 months (mean, 13.2 months). There were 5 cases (23.8%) of skin necrosis and 6 cases (28.6%) of scar hyperplasia in group A, and 1 case (4.0%) of skin necrosis and 1 case (4.0%) of scar hyperplasia in group B. The incidence of complication was significantly lower in group B than in group A (χ²=3.949, P=0.047; χ²=5.341, P=0.021). In the evaluation of PST correction at 6 months after operation, there were 15 cases of complete correction and 6 cases of incomplete correction in group A, 24 cases of complete correction and 1 case of incomplete correction in group B, and the difference was significant (χ²=5.341, P=0.021). Conclusion The penis up transfer method is not only easy to correct PST, but also can correct scrotal separation at the same time, with fewer postoperative complications and satisfactory correction effect of penile scrotal appearance.

Citation： WU Yonglong, HU Yang, WANG Shoufu, XU Bo, XU Yanbo, CHEN Haichen. Effectiveness of penis up transfer method for penoscrotal transposition in children. Chinese Journal of Reparative and Reconstructive Surgery, 2022, 36(6): 776-780. doi: 10.7507/1002-1892.202201010 Copy

1.	Fahmy M, Alshennawy A, Edress A M. Spectrum of penoscrotal positional anomalies in children. Int J Surg, 2014, 12(9): 983-988.
2.	Cüneyd zkürkügil, Zkan L, Saribacak A. Abnormalities of the external genitalia in school-age boys in Turkey: A contemporary epidemiologic evaluation. Turkiye Klinikleri Journal of Medical Sciences, 2011, 31(2): 371-374.
3.	Chung JL, Choi JR, Park MS, et al. A case of del(13)(q22) with multiple major congenital anomalies, imperforate anus and penoscrotal transposition. Yonsei Med J, 2001, 42(5): 558-562.
4.	Garcia NM, Allgood J, Santos LJ, et al. Deletion mapping of critical region for hypospadias, penoscrotal transposition and imperforate anus on human chromosome 13. J Pediatr Urol, 2006, 2(4): 233-242.
5.	Chadha R, Mann V, Sharma A, et al. Complete penoscrotal transposition and associated malformations. Pediatr Surg Int, 1999, 15(7): 505-507.
6.	Pinke LA, Rathbun SR, Husmann DA, et al. Penoscrotal transposition: review of 53 patients. J Urol, 2001, 166(5): 1865-1868.
7.	唐勇, 李养群, 杨喆, 等. 阴茎阴囊转位的整形外科治疗. 中华整形外科杂志, 2016, 32(5): 351-353.
8.	康春生, 王晓路, 张风翔. 尿道下裂合并阴茎阴囊转位的外科治疗. 中华外科杂志, 1995, 33(5): 298-300.
9.	Dresner ML. Surgical revision of scrotal engulfment. Urol Clin North Am, 1982, 9(2): 305-310.
10.	Kolligian ME, Franco I, Reda EF. Correction of penoscrotal transposition: a novel approach. J Urol, 2000, 164(3 Pt 2): 994-997.
11.	李旭良, 龚以榜. 一期手术治疗伴有阴茎阴囊转位的尿道下裂. 中华泌尿外科杂志, 1992, 13(1): 58-60.
12.	DeFoor W, Wacksman J. Results of single staged hypospadias surgery to repair penoscrotal hypospadias with bifid scrotum or penoscrotal transposition. Journal of Urology, 2003, 170(4 Pt 2): 1585-1588.
13.	Arena F, Romeo C, Manganaro A, et al. Surgical correction of penoscrotal transposition associated with hypospadias and bifid scrotum: our experience of two-stage repair. J Pediatr Urol, 2005, 1(4): 289-294.
14.	Ozturk H, Ozturk S. Penile rotation and penoscrotal transposition associated with hypospadias and bifid scrotum: A case report. Pediatric Urology Case Reports, 2014, 1(5): 5-9.
15.	阿布都赛米·阿不都热衣木, 汤梁峰, 阮双岁, 等. 尿道下裂伴阴茎阴囊转位的诊治 (附83例报告). 中华男科学杂志, 2014, 1(5): 5-9.
16.	Saleh A. Correction of incomplete penoscrotal transposition by a modified Glenn-Anderson technique. Afr J Paediatr Surg, 2010, 7(3): 181-184.
17.	Manjunath K, Venkatesh M. M-plasty for correction of incomplete penoscrotal transposition. World Journal of Plastic Surgery, 2014, 3(2): 138-141.
18.	Mori Y, Ikoma F. Surgical correction of incomplete penoscrotal transposition associated with hypospadias. J Pediatr Surg, 1986, 21(1): 46-8.
19.	唐耘熳, 王学军, 毛宇, 等. M形皮瓣法矫治尿道下裂术后残留阴茎阴囊转位44例效果分析. 实用医院临床杂志, 2016, 13(4): 44-45.

1. Fahmy M, Alshennawy A, Edress A M. Spectrum of penoscrotal positional anomalies in children. Int J Surg, 2014, 12(9): 983-988.
2. Cüneyd zkürkügil, Zkan L, Saribacak A. Abnormalities of the external genitalia in school-age boys in Turkey: A contemporary epidemiologic evaluation. Turkiye Klinikleri Journal of Medical Sciences, 2011, 31(2): 371-374.
3. Chung JL, Choi JR, Park MS, et al. A case of del(13)(q22) with multiple major congenital anomalies, imperforate anus and penoscrotal transposition. Yonsei Med J, 2001, 42(5): 558-562.
4. Garcia NM, Allgood J, Santos LJ, et al. Deletion mapping of critical region for hypospadias, penoscrotal transposition and imperforate anus on human chromosome 13. J Pediatr Urol, 2006, 2(4): 233-242.
5. Chadha R, Mann V, Sharma A, et al. Complete penoscrotal transposition and associated malformations. Pediatr Surg Int, 1999, 15(7): 505-507.
6. Pinke LA, Rathbun SR, Husmann DA, et al. Penoscrotal transposition: review of 53 patients. J Urol, 2001, 166(5): 1865-1868.
7. 唐勇, 李养群, 杨喆, 等. 阴茎阴囊转位的整形外科治疗. 中华整形外科杂志, 2016, 32(5): 351-353.
8. 康春生, 王晓路, 张风翔. 尿道下裂合并阴茎阴囊转位的外科治疗. 中华外科杂志, 1995, 33(5): 298-300.
9. Dresner ML. Surgical revision of scrotal engulfment. Urol Clin North Am, 1982, 9(2): 305-310.
10. Kolligian ME, Franco I, Reda EF. Correction of penoscrotal transposition: a novel approach. J Urol, 2000, 164(3 Pt 2): 994-997.
11. 李旭良, 龚以榜. 一期手术治疗伴有阴茎阴囊转位的尿道下裂. 中华泌尿外科杂志, 1992, 13(1): 58-60.
12. DeFoor W, Wacksman J. Results of single staged hypospadias surgery to repair penoscrotal hypospadias with bifid scrotum or penoscrotal transposition. Journal of Urology, 2003, 170(4 Pt 2): 1585-1588.
13. Arena F, Romeo C, Manganaro A, et al. Surgical correction of penoscrotal transposition associated with hypospadias and bifid scrotum: our experience of two-stage repair. J Pediatr Urol, 2005, 1(4): 289-294.
14. Ozturk H, Ozturk S. Penile rotation and penoscrotal transposition associated with hypospadias and bifid scrotum: A case report. Pediatric Urology Case Reports, 2014, 1(5): 5-9.
15. 阿布都赛米·阿不都热衣木, 汤梁峰, 阮双岁, 等. 尿道下裂伴阴茎阴囊转位的诊治 (附83例报告). 中华男科学杂志, 2014, 1(5): 5-9.
16. Saleh A. Correction of incomplete penoscrotal transposition by a modified Glenn-Anderson technique. Afr J Paediatr Surg, 2010, 7(3): 181-184.
17. Manjunath K, Venkatesh M. M-plasty for correction of incomplete penoscrotal transposition. World Journal of Plastic Surgery, 2014, 3(2): 138-141.
18. Mori Y, Ikoma F. Surgical correction of incomplete penoscrotal transposition associated with hypospadias. J Pediatr Surg, 1986, 21(1): 46-8.
19. 唐耘熳, 王学军, 毛宇, 等. M形皮瓣法矫治尿道下裂术后残留阴茎阴囊转位44例效果分析. 实用医院临床杂志, 2016, 13(4): 44-45.

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