Results of a simplified technique for XXXX repair.

@entity1 @entity2650 @entity4269 @entity24596 @entity17904
PURPOSE: The @entity17904 can cause secondary phimosis, recurrent @entity24596 and social embarrassment. We report our results using a simplified technique for repair. MATERIALS AND METHODS: A retrospective chart review of 83 consecutive @entity1 undergoing @entity17904 repair between March 1995 and March 2001 was performed. Indications for surgery included recurrent @entity24596 , secondary phimosis, difficulty holding the penis during voiding, spraying of the urinary stream, or parental or @entity1 concern for social embarrassment. The technique involves fixation of the subcutaneous penile skin at the base of the degloved penis to Buck's fascia of the penile shaft at the 3 and 9 o'clock positions. RESULTS: For the 79 @entity1 included in the study average followup was 4.4 years. Group 1 consisted of 26 @entity1 who underwent circumcision at the time of @entity17904 repair. Six @entity1 had @entity2650 and 13 had penoscrotal webbing that was repaired simultaneously. Three @entity1 (11.5%) had recurrent @entity17904 that required a repeat procedure and 1 (3.8%) required revision of the circumcision only. Three @entity1 (11.5%) with penoscrotal webbing had mild recurrence requiring no further treatment. Group 2 consisted of 49 @entity1 who underwent revision of the circumcision at the time of @entity17904 repair. Seven @entity1 (14.3%) had mild recurrence that did not require further treatment. Group 3 consisted of 4 @entity1 who underwent liposuction at the time of @entity17904 repair. One @entity1 experienced @entity4269 of the ventral distal shaft skin, which required subsequent excision. CONCLUSIONS: The @entity17904 repair is a simple and effective outpatient procedure with few complications and recurrences. It can be used as a primary or secondary procedure and affords good cosmetic results.
