Torsion of the penis

Torsion of the penis, with or without a minor degree of hypospadias, is a congenital abnormality that is being diagnosed more frequently and referred to pediatric surgeons. In the 5-year period 1988–1992, 16 boys, 9 with glanular or juxtaglanular hypospadias and 7 with isolated torsion of the penis, were operated upon for penile torsion in our clinic using either a circular incision at the subcoronal sulcus or Johnston's procedure. The functional and cosmetic results in the two groups are compared and specific indications for the two techniques are discussed. The first technique is suggested as the procedure of choice because it involves minimal complications and gives the best cosmetic results.     

Strangulation of glans penis by hair or "penis tourniquet syndrome"

The authors report 5 cases of strangulation of the penis with hair in children. This affection, more seen frequently within socially disadvantaged children, needs early diagnosis and treatment because it may be responsible for glans amputation. A better knowledge of this accident by parents and physicians might prevent this barbaric aggression.     

Multiple neurilemmomas of the penis

A 10-year-old male with multiple small swellings over the shaft of the penis for 2 years was found to have multiple neurilemmomas on histopathologic examination. The case is reported in view of the extreme rarity of the entity. Accepted: 4 May 1999     

Concealed pulmonary abscess: diagnosis by computed tomography

During childhood, an acute pneumonia with bulging margins usually reflects an abundant production of exudate. However, an unexplained persistence of an expansile pneumonia following therapy indicates that the infectious process may be isolating itself by forming an abscess. Previous reports emphasize that such abscesses are rarely diagnosed prior to thoracotomy or autopsy. Computed tomography facilitates an earlier disclosure of an abscess or empyema that is producing a persistent but unexplained expanding opacification on plain film.     

Preputial flaps to correct buried penis

The authors developed a preputial skin flap technique to correct the buried penis which was simple and practical. This simple procedure can be applied to most boys with buried penis. In the last 3 years, we have seen 12 boys with buried penis and have been treated by using preputial flaps. The mean age is about 5.1 (from 3 to 12). By making a longitudinal incision on the ventral side of penis, the tightness of the foreskin is released and leave a diamond-shaped skin defect. It allows the penile shaft to extend out. A circumferential incision is made about 5 mm proximal to the coronal sulcus. Pedicled preputial flaps are obtained leaving optimal penile skin on the dorsal side. The preputial skin flaps are rotated onto the ventral side and tailored to cover the defect. All patients are followed for at least 3 months. Edema and swelling on the flaps are common, but improves with time. None of our patients need a second operation. The preputial flaps technique is a simple technique which allows surgeons to deal with most cases of buried penis by tailoring the flaps providing good cosmetic and functional results.     

Hypercalcemia and carcinoma of the penis

Hypercalcemia is the most common metabolic disorder associated with malignancies. Squamous cell carcinoma of the penis is a tumor for which this abnormality has rarely been described. This report presents a case of hypercalcemia seen in a patient with advanced penile cancer. A chemotherapy regimen of intravenous cisplatin and fluorouracil caused regression of the primary tumor and normalization of the serum calcium. A literature review supported an association between squamous cell carcinoma of the penis and hypercalcemia. Med. Pediatr. Oncol. 29:576–577, 1997. © 1997 Wiley-Liss, Inc.     

儿童隐匿阴茎手术治疗82例

目的：探讨手术治疗儿童隐匿阴茎的疗效。方法回顾性分析2009年1月至2011年12月在本院接受手术治疗的82例隐匿阴茎患儿临床资料。术前检查显示阴茎外观短小,严重者仅见包皮堆而无阴茎体显露,用拇指和食指将阴茎周围皮肤后推可显露发育及长度基本正常的阴茎体,松手后阴茎体迅速回缩。患儿均有包皮口狭窄,阴茎头不外露。手术操作包括：松解包皮狭窄环、脱套阴茎皮肤、转移阴囊皮肤增加阴茎体皮肤覆盖、固定海绵体白膜和阴茎根部皮下组织,重建阴茎阴囊角。结果82例均获随访,平均手术年龄为5（1～13）岁,平均手术时间为40（30～70）min,平均随访时间为6（3～24）个月。术后阴茎体显露良好,阴茎体无明显回缩。结论手术可有效矫正隐匿阴茎外观,改善阴茎体显露。     

Elastic and Velcro dressing for penis

A simple, quick, painless, and versatile dressing that fulfills most of the criteria of an ideal hypospadias dressing is described.     

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小阴茎在临床上并不罕见,是一些内分泌、遗传性疾病的外在表现,是男性化不全的最常见体征,由雄激素产生不足或靶器官不敏感引起,常伴有小睾丸、隐睾、小阴囊等其他外生殖器发育不良。因为关系到成年后生育能力及性生活质量,近年倍受家长重视。《尼尔逊儿科学》和《儿科内分泌学》对小阴茎有统一的定义,认为解剖结构及外观形态正常,长度低于同年龄或同一青春发育期长度均值的2·5个标准差的阴茎为小阴茎[1-2]。有学者认为此定义值得商榷,因为阴茎的静止伸展状态长度与功能状态长度之间并不一定成正比。准确的检查和测量是诊断小阴茎的基础。…