EN
TÜRKÇE
Poster Display - 146
A Preventable Late Complication of Circumcision and Penile Surgery: Penile Skin Bridges
Sabri Cansaran, Serdar Moralıoğlu
University of Health Sciences, Turkey. Istanbul Zeynep Kamil Maternity and Children's Diseases Health Training and Research Center, Department of Pediatric Surgery, Istanbul
Aim: The aim of this study was to present the clinical findings and surgical treatment results of patients presenting with complaints of deformity or painful erection due to penile skin bridges.
Methods: Cases presenting with penile skin bridge after circumcision or penile surgery in the last five years were retrospectively analyzed.
Results: Four patients were identified who presented with skin bridges after penile surgery. The patients, whose ages at presentation were 4, 6, 11 and 14, had skin bridges in different areas and numbers. Two of the patients were operated for circumcision, one for congenital penile chordee, and one for balanic hypospadias. The two patients who were circumcised underwent surgery when they were under 1 year old, the patient with penile chordee was 14 months old, and the patient with hypospadias was 4.5 years old. While deformity was the main complaint in all patients, two patients with multiple skin bridges also complained of pain during erection. All patients were reoperated under general anesthesia except for the case whose penile chordee was previously corrected. Two of them underwent primary suturing with skin bridge excision, and the other underwent primary suturing using local flaps in the necessary areas with skin bridge excision. Postoperatively, it was observed that the incisions healed without any problems and the complaints of the patients improved.
Conclusion: Penile skin bridges resulting from childhood circumcision and other surgical procedures can cause functional problems such as painful erections, in addition to cosmetic problems. In order to prevent this situation, it is important to follow up patients who have undergone circumcision or penile surgery at an early age, to identify patients at risk, and to provide appropriate local wound care, especially in the early stages.