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Comparative study between dynamic versus static stitch, as a simple treatment for buried penis

Thesis

Last updated: 06 Feb 2023

Subjects

-

Tags

General Surgery

Advisors

Qenawi, Muhammad M., Aly, Aly H., Abdel-Samad, Hesham M.

Authors

Esmaeil, Mussttafa Nassr

Accessioned

2017-04-26 12:06:02

Available

2017-04-26 12:06:02

type

M.D. Thesis

Abstract

Buried penis is an entity that belongs to a group of conditions referred to as inconspicuous penis. Which is a phallus that is or only appears to be small (Maisels et al., 1986). The buried penis itself is otherwise normal in size but buried in the prepubic fat.The etiology is not completely clear; however it could be explained by many theories one of which is poor attachments between the shaft skin and underlying fascia. In this study an anchoring technique was used to suture the penile skin to Buck's fascia (dynamic stitch) or to pubic bone periostium (static stitch).Forty six patients were included and randomly allocated between 2 groups: A (dynamic) B (static). We did not find any significant relation between the age of the patient and the results or the complications, denoting that the optimal age of intervention is at the time of presentation.An acceptable operative time ranging from 20-35 minutes and 25-40 minutes for both groups respectively.In group A, the two anchoring stitches were taken at 3 and 9 O'clock positions between the deep dermis of degloved penile skin at the penopubic angle to the Buck's fascia at the same level using delayed absorbable material (Vicryl 4/0) while in group B; the deep dermal stitches were fixed to the periosteum of the pubic bone instead.Most of the results were in favor of simple (the dynamic stitch) technique denoting its superiority, using delayed absorbable stitch and the optimal time of intervention is at the time of presentation.

Issued

1 Jan 2008

DOI

http://dx.doi.org/10.21473/iknito-space/32268

Details

Type

Thesis

Created At

31 Jan 2023