A Modified Scrotoplasty for Treating Severe Penoscrotal Webbing in Children

Abstract
To compare a novel modified W-incision scrotoplasty (MWS) operation method with the conventional V-Y scrotoplasty for treatment of severe penoscrotal webbing (PSW) in children a retrospective study was conducted on 26 children. Circumcision combined with modified scrotoplasty was used to repair the webbed penis and phimosis of children and another 32 patients undergoing V-Y scrotoplasty served as the control group. There was a statistically significant difference of angle improvements of penis and scrotum in a horizontal position (-66 +/- 10; -57 +/- 6,P< 0.001) and the parent satisfaction score (Five Likert Scale) (4.7 +/- 0.56; 3.8 +/- 0.47,P< 0.001) between the two groups. All 26 children who underwent MWS presented with no serious postoperative complications, and there was no significant difference in surgical complications compared to children treated with V-Y scrotoplasty.

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