Dataset Information

Concealed penis in pediatric age group: a comparison between three surgical techniques.

ABSTRACT:

Background

Comparison between three different surgical techniques in the management of concealed penis.

Methods

This prospective interventional non-randomized study included 150 pediatric patients with a concealed penis. They were distributed equally into three groups; group A; patients treated by anchoring the penile skin dermis to Buck's fascia at the penile base at 3 and 9 o'clock points using PDS 5/0 (phallopexy), group B; patients treated by complete dissection and excision of dartos fascia and group C; patients treated by phallopexy as in group A after complete dissection and excision of dartos fascia. Follow-up at the end of the 1st post-operative week and then monthly for 6 months as regards penile skin congestion and/or necrosis, wound infection, edema, and/or re-retraction was carried out.

Results

Penile edema and re-retraction have a statistically significant difference among the studied groups (p < 0.001 and p = 0.002 respectively). Penile re-retraction was noticed to be lowest in patients of group C, however penile edema was observed to be highest in patients of group B.

Conclusions

Phallopexy after complete dissection and excision of dartos fascia have better results than doing either phallopexy or dartos excision alone in the treatment of concealed penis.

Clinical trial registration

The manuscript was registered in ClinicalTrials.gov Protocol Registration and Results System.

Clinicaltrials

gov Identifier: NCT05565040. Our manuscript was registered on 4/10/2022.

SUBMITTER: Elrouby A

PROVIDER: S-EPMC9832662 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Concealed penis in pediatric age group: a comparison between three surgical techniques.

Elrouby Ahmed A

BMC urology 20230111 1

<h4>Background</h4>Comparison between three different surgical techniques in the management of concealed penis.<h4>Methods</h4>This prospective interventional non-randomized study included 150 pediatric patients with a concealed penis. They were distributed equally into three groups; group A; patients treated by anchoring the penile skin dermis to Buck's fascia at the penile base at 3 and 9 o'clock points using PDS 5/0 (phallopexy), group B; patients treated by complete dissection and excision o ...[more]

PMID: 36631822

Similar Datasets

Project description:Purpose: Research output of once-leading countries in surgical journals is decreasing despite an overall increase of scientific publications by 8% per year. We aimed to assess research outputs of German, Dutch, and Israeli pediatric surgeons in dedicated pediatric surgical journals in order to get insight into trends in pediatric surgical research.Methods: We collected bibliographic information on all original articles in the Journal of Pediatric Surgery, European Journal of Pediatric Surgery, and Pediatric Surgery International in 1985–1988, 2000–2003, and 2015–2018 that had a German, Dutch or Israeli last author from a department of pediatric surgery. Citation counts were obtained from the Web of Science.Results: Research output of German pediatric surgery decreased from 19 manuscripts in 1988 (0.1/surgeon/year) to eight manuscripts in 2017 (0.02/surgeon/year), whereas those of the Netherlands increased from two manuscripts in 1985 (0.08/surgeon/year) to 12 manuscripts in 2016 (0.3/surgeon/year). The declining German research output negatively correlated with increasing numbers of specialist pediatric surgeons for total (? = ?0.54; P = 0.0156) and manuscripts per surgeon (? = ?0.79; P = 0.0001), resulting in a negative trend over time (?2 = 11.845, P = 0.0006). Analyses of citation patterns revealed that manuscripts by Dutch pediatric surgeons and those published in the Journal of Pediatric Surgery had higher absolute citation counts than the reference category of a German manuscript in the European Journal of Pediatric Surgery. Age-corrected citation rates resembled this result by increasing from 2000 to 2003 (x˜ = 0.799, range: 0–3.368) to 2015–2018 (x˜ = 2, range: 0–5) (P = 0.035) for the Netherlands. Assessment of manuscript types revealed that the proportion of prospective studies increased in the German sample (?2 = 5.05, P = 0.0246), but remained the lowest among the comparators. Surprisingly, the proportion of non-clinical manuscripts from Germany also increased over time (?2 = 4.001, P = 0.0455), whereas it remained constant in both the Netherlands and Israel.Conclusion: German pediatric surgical research output decreased in the last thirty years based on the sample of dedicated pediatric surgical journals, while Dutch productivity increased. Citation rates—as a measure of scientific impact—were associated and increased with Dutch manuscripts. The involved factors remain to be determined and whether this represents a shift toward other journals or mirrors a general development.

Project description:ObjectiveComparison of conventional Penetrating Keratoplasty (PKP), posterior mushroom PKP and Descemet's Stripping Automated Endothelial Keratoplasty (DSAEK) regarding overall graft survival of primary corneal transplants for Fuchs´ endothelial dystrophy (FED), best spectacle-corrected visual acuity (BSCVA) and astigmatism.MethodsSingle centre study using prospectively collected data from the national database for follow-up of corneal transplants. Main outcome parameters: 10 years graft survival, astigmatism at 24 months, pre- and post-operative BSCVA.ResultsIn total, 721 cases were included: PKP, n = 171; posterior mushroom PKP, n = 91; and DSAEK, n = 459. There was no significant difference in graft survival between PKP, posterior mushroom PKP and the DSAEK technique (log-rank test, P = 0.12). The overall post-operative BSCVA improvement in all treatment groups was significant (paired t-test, P<0.001). Pre-operative BSCVA was better for the DSAEK group (0.68 ± 0.41 logMAR) as compared to the PKP (0.89 ± 0.53) and posterior mushroom PKP group (0.90 ± 0.58); ANOVA, P<0.001. After 24 months, BSCVA was significantly better for the DSAEK group (0.25 ± 0.26 logMAR) compared to the PKP (0.35 ± 0.29) and posterior mushroom PKP group (0.41 ± 0.42); ANOVA, P<0.001. A significant difference in astigmatism was found (median test, P<0.001) between the DSAEK (1.7 ± 1.1 D), PKP (4.6 ± 2.7 D) and posterior mushroom PKP group (4.5 ± 3.3 D). The significantly lower DSAEK-induced astigmatism was confirmed by vector analysis.ConclusionThere was no difference in graft survival and BSCVA improvement between conventional PKP, inverted mushroom PKP and DSAEK in this study. The significantly lower changes in astigmatism, wound stability and faster visual rehabilitation with DSAEK surgery are favourable aspects of this technique. The benefits of posterior lamellar keratoplasty warrant earlier intervention, which may contribute to preserve better vision for a prolonged period of remaining lifetime.

Dataset Information

Concealed penis in pediatric age group: a comparison between three surgical techniques.

Background

Methods

Results

Conclusions

Clinical trial registration

Clinicaltrials

Publications

Concealed penis in pediatric age group: a comparison between three surgical techniques.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets