WOFAPS 2025 8th World Congress of Pediatric Surgery

Oksana Bychkova ¹, Saidkhasan Bataev ², Alina Roshchupkina ³, Ilya Zyabkin ⁴, Ali Ferzauli ⁵, Olga Shcherbakovа ⁶, Elmira Alieva ⁷

¹ Federal Scientific and Clinical Center for Children and Adolescents of the FMBA of Russia
² Federal Scientific and Clinical Center for Children and Adolescents of the FMBA of Russia, Burnazyan Scientific Research Center, Pirogov Russian National Research Medical University. Kh. Ibragimov Complex Institute of the Russian Academy of Sciences
³ Pirogov Russian National Research Medical University, Moscow, Russia
⁴ Federal Scientific and Clinical Center for Children and Adolescents of the FMBA of Russia, Burnazyan Scientific Research Center
⁵ Kadyrov Chechen State University
⁶ Federal Scientific and Clinical Center for Children and Adolescents of the FMBA of Russia,
⁷ Federal Scientific and Clinical Center for Children and Adolescents of the FMBA of Russia, Burnazyan Scientific Research Center,

Introduction. Venous malformation of the penis is extremely rare. There are isolated cases of treatment of venous dysplasia of the penis in children described in the world literature.

The clinical picture depends on the diameter of the affected vessels, their number, prevalence, and the presence of possible complications (inflammation of the vascular wall, thrombus formation and thromboembolism, trophic disorders).

The disease is characterized by a slow progressive course, with an increase in the size and prevalence of the pathological focus. In some cases, the pathological focus does not change over time.

Material and methods. To carry out this type of treatment, an Nd Yag laser device (1064 nm) with a pulse duration of 650 μs was used.

Method of action: a series of pulses following one another, zone by zone, without overlapping, are applied to a dry cooled surface in the projection of the pathological venous focus. Energy density - 71 J / cm2 (mode 5), pulse repetition frequency 1.5 Hz. First, the central part of the pathological area was treated, then the periphery.

Results. One month after laser transdermal coagulation of pathological venous vessels, an examination and instrumental examination were performed to assess the treatment result. The pathological area is practically undetectable, the boundaries are blurred with a barely detectable single pathological venous vessel up to 1 mm in diameter. Positive dynamics were confirmed by a repeated ultrasound examination. A similar method was used to perform 13 operations in children with venous malformation of the penis. Remote results were assessed after 1.5 and 3 years. In all cases, a good functional and cosmetic result was obtained.

Conclusion. The use of laser coagulation of pathological venous vessels of external localization is an effective and safe method for treating venous dysplasia of the glans penis in children of any age.