The “V‐I penoscrotal reconfiguration”: A simple technique for the surgical treatment of congenital webbed penis

Abstract

ObjectivesTo describe a new penoscrotal reconfiguration technique, named “V‐I penoscrotal reconfiguration” for the surgical reconstruction of a congenital webbed penis (CWP).MethodsTwenty‐one patients who underwent the “V‐I penoscrotal reconfiguration technique” were included in this retrospective study. The CWP severity was assessed according to El‐Koutby's classification. Demographic and clinical data, surgical data, and postoperative outcomes were scheduled and analyzed. Specifically, the postoperative follow‐up included both physical and psychological assessments at 2 weeks, 1, 6, and 12 months after surgery. Parents' satisfaction degree was quantified by the Likert scale.ResultsCWP was grade 3 in 11 (52%) patients, 2 in five (24%), and 1 (24%) in five. Five (24%) CWP were isolated malformations, 11 (52%) were associated with phimosis, three (14%) with hypospadias, and two (10%) with hypospadias and phimosis. There were no postoperative complications and no cases of redo surgery. The cosmetic outcomes were excellent in all cases: the parents' satisfaction score was 4 in 17 (81%) cases and 3 (9%) in the other four cases.ConclusionsCWP may cause psychological distress and functional problems, especially during sexual intercourse. Its correction in childhood is advocated to prevent psychological and sexual issues. The “V‐I reconfiguration technique” is simple, and easy with excellent cosmetic and functional outcomes.