Clinical Effect of Brisson Operation Modified by Y-shaped Incision for Treatment of Concealed Penis in Adolescents

Overview

Journal J Int Med Res

Publisher Sage Publications

Specialty General Medicine

Date 2021 Apr 7

PMID 33823633

Authors

Quanxin Su

Shenglin Gao

Chao Lu

Xingyu Wu

Li Zuo

Lifeng Zhang

Affiliations

Soon will be listed here.

Abstract

Objective: To analyze the clinical effect of the Brisson operation modified by a Y-shaped incision in treating adolescent concealed penis.

Methods: We retrospectively analyzed clinical data of 27 adolescents with a concealed penis treated with the Brisson operation modified by a Y-shaped incision in our hospital from January 2017 to March 2020.

Results: The operation went smoothly in all 27 patients. Postoperative foreskin edema occurred in 12 patients and spontaneously resolved within 1 month postoperatively. Two patients developed postoperative retropubic infection. After administering antibiotics and symptomatic treatment, both patients' conditions improved within 1 week. All operations obtained satisfactory results. Postoperatively, when the penis was in a non-erect state, it was clearly exposed without retraction or concealment; thus, demonstrating good surgical results. The prepuce was distributed naturally without obvious accumulation of redundant preputial tissue. The penile scar resembled that after circumcision. The postoperative follow-up period was 6 months, during which no patients developed recurrence.

Conclusion: The Brisson operation modified by a Y-shaped incision is effective for treating a concealed penis in adolescent patients. This technique may relieve the pathological abnormalities and retain the penile skin's integrity to the greatest extent with minimal scarring and a satisfactory appearance.

Citing Articles

Concealed penis: A review of multilevel classification and surgical reconstruction techniques.

Xiang B, Peng J, Shang X, Zu X, Li D BJUI Compass. 2025; 6(1):e470.

PMID: 39877568 PMC: 11771508. DOI: 10.1002/bco2.470.

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