Skip to main content

ORIGINAL RESEARCH article

Front. Pediatr.
Sec. Pediatric Urology
Volume 12 - 2024 | doi: 10.3389/fped.2024.1371576
This article is part of the Research Topic Pediatric Urogenital Reconstruction View all articles

A Novel Modified Penile Disassembly Procedure for Isolated Male Epispadias Repair: Preliminary Outcomes

Provisionally accepted
Fuming Deng Fuming Deng 1,2Wen Fu Wen Fu 2*Guochang Liu Guochang Liu 2*Liangzhong Sun Liangzhong Sun 1*
  • 1 Department of Pediatrics, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China
  • 2 Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China

The final, formatted version of the article will be published soon.

    The aim of this study was to evaluate the preliminary outcome of a novel modification of a penile disassembly procedure.We retrospectively reviewed the data of 15 patients with isolated male epispadias (IME) who underwent a modified penile disassembly procedure. The modification was characterized by leaving the glans connected while the urethral plate was dissected from the corpus cavernosum. Such a modification reserves the bundles of the anastomosis at the glans, which can prevent ischemic changes.Results: One of the first two patients experienced glans ischemic changes on the first day after the operation, which ultimately resulted in the loss of half of the hemiglans. Urethral plate shortening was found in two patients and was addressed with a transverse preputial island flap. Two patients had a penopubic urethral fistula that was repaired six months postoperatively. We found that 10 of the 15 patients (66%) were continence or social continence, and four patients were incontinent and needed bladder neck reconstruction. One patient had not yet reached the age for continence evaluation. Two patients had a residual dorsal curvature of approximately 10-15 degrees and were advised to undergo continuous follow-up.The modified penile disassembly procedure is a simple, effective and safe method for IME repair with an acceptable penile appearance and complication rate.

    Keywords: Epispadias, Urethral Diseases, Urethral reconstruction, Male Urogenital Diseases, prognosis

    Received: 16 Jan 2024; Accepted: 07 Aug 2024.

    Copyright: © 2024 Deng, Fu, Liu and Sun. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence:
    Wen Fu, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
    Guochang Liu, Guangzhou Women and Children’s Medical Center, Guangzhou Medical University, Guangzhou, China
    Liangzhong Sun, Department of Pediatrics, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.