Çocuklarda Penoskrotal Perde ve Onarımı

INTRODUCTION: Penoscrotal web is the extension of skin from scrotum skin to ventral skin of the penis that causes malformation of the penis and may lead to problems during sexual intercourse in adulthood. V-Y plasty, double Z plasty, V plasty, and double V plasty techniques have been described for penoscrotal web repair. In our study, we aimed to share the outcomes of patients who underwent penoscrotal web repair with the double V plasty technique. METHODS: The data of 30 patients who were observed to have penoscrotal web during the pre-circumcision examination in our clinic and underwent web repair along with circumcision were retrospectively analyzed. After all patients underwent web repair using the double V technique, circumcision was performed with the sleeve technique. The cosmetic outcomes of the patients who were checked in the post-operative 1st month were evaluated. RESULTS: Thirty patients underwent penoscrotal web repair with double V plasty together with circumcision with the sleeve technique in our clinic between 2017 and 2019. The average age of the patients was 3.70+-3.68. The patients who were operated under general anesthesia were discharged on the same day without any problem. The cosmetic outcomes of the patients who were called for control 1 month after the operation were evaluated. It was observed that the webs of all patients disappeared. It was determined that the circumcision incision and wounds in the penoscrotal region were healed smoothly. DISCUSSION AND CONCLUSION: In the literature, many different techniques have been described on penoscrotal web repair. We also successfully apply the double V plasty technique in our clinic. We consider that our results related to penoscrotal web repair, on which there are few studies in the literature, will contribute to the literature by revealing them.