Journal List > Korean J Urol > v.49(7) > 1005147

Park and Lee: Long-term Parental Satisfaction after Surgical Treatment of Concealed Penis

Abstract

Purpose

Management of concealed penis continues to evolve, with several manuscripts having been published over the last several decades. Each describes a novel surgical approach, but little has been written concerning long-term results. We conducted a parental survey to assess long-term satisfaction with the surgical correction of concealed penis.

Materials and Methods

We reviewed 31 medical records of patients treated for concealed penis between 2000 and 2005. The parental survey was performed via telephone interview. The mean follow-up duration was 26.3 months (range 14 to 84 months). The questionnaire addressed the appearance and accessibility of the penis, hygiene care, severity of concealment, negative concerns about the appearance of the penis, and parent satisfaction. Parental satisfaction was also analyzed according to age, phimosis, method of correction, and body mass index (BMI).

Results

The mean patient age was 7.3±6.5 years (range 14 month to 14 years). Before surgery, 67.7% of parents complained of difficulty with hygiene care, 80.6% complained of a completely hidden penis, and 83.3% complained of negative feelings about the appearance of the penis. However, most of these complaints resolved after surgical correction. On the telephone interview, 93.5% of parents said there was improvement in the accessibility of the penis, 80.6% said there was improvement in the length of the penis, and 87.1% said they would recommend the surgery to another boy with the same problem. There were no significant differences in parental satisfaction with respect to age, phimosis, method of correction, or BMI.

Conclusions

Our data demonstrate that most parents were satisfied with the surgical correction of concealed penis, regardless of patient age, phimosis, surgical method, or BMI.

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Table 1.
Questionnaire results and comparative analysis
No. of patients answered “yes”
Item 1 Item 2 Item 3 Item 4 Item 5 Item 6 Item 7 Item 8 Item 9 Item 10 Item 11 Item 12 Item 13 Item 14 Item 15
Total (n=31) 4 2 13 21 1 25 1 4 1 27 6 25 27 29
% 12.9 6.5 41.9 67.7 3.2 80.6 3.2 12.9 3.2 87.1 19.4 80.6 87.1 93.5
Surgicalmethod L procedure(n=11) 1 0 4 0 6 0 9 1 2 0 10 2 9 10 10
C procedure(n=20) 3 2 9 0 15 1 16 0 2 1 17 4 16 17 19
p-value 0.553 0.409 0.468 0.221 0.645 0.646 0.355 0.447 0.645 0.553 0.646 0.646 0.553 0.591
Age ≥7 years(n=18) 4 2 10 0 12 1 16 1 4 1 16 3 12 16 16
<7 years(n=13) 0 0 3 0 9 0 9 0 0 0 11 3 13 11 13
p-value 0.097 0.329 0.074 0.597 0.581 0.182 0.581 0.097 0.581 0.566 0.499 0.025 0.566 0.329
Phimosis No(n=15) 1 1 4 0 12 0 12 0 1 1 13 4 12 12 14
Yes(n=16) 3 1 9 0 9 1 13 1 3 0 14 2 13 15 15
p-value 0.325 0.742 0.096 0.152 0.516 0.641 0.516 0.325 0.484 0.675 0.295 0.641 0.352 0.742
BMI ≥20kg/m2 (n=15) 2 2 7 0 11 1 15 1 2 1 14 3 11 14 15
<20kg/m2(n=16) 2 0 6 0 14 0 10 0 2 0 13 3 14 13 14
p-value 0.675 0.258 0.561 0.100 0.516 0.072 0.516 0.675 0.516 0.675 0.641 0.100 0.675 0.742

BMI: body mass index

1. Preoperative balanitis

2. Postoperative balanitis

3. Preoperative preputial urinary retention

4. Postoperative preputial urinary retention

5. Preoperative trouble with hygine

6. Postoperative trouble with hygine

7. Preoperative completely hidden penis

8. Postoperative completely hidden penis

9. Preoperative dysuria

10. Postoperative dysuria

11. Preoperative negative concerns

12. Postoperative negative concerns

13. Improved penile length

14. Recommend surgery

15. Penis more accessible

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