Abstract：
Circumcision is commonly performed but anatomic variants occur and can affect outcomes if not addressed properly. The combination of concealed penis and penoscrotal webbing is fairly common and presents across a spectrum of severity. If not repaired, this can result in a buried penis that can cause penile adhesions, wound healing concerns, and make the penis appear shorter secondary to a retracted position. We present our technique that is reproducible and highly successful in addressing both of these concerns. The paraphimotic band approach is performed more commonly and is able to reliably correct webbing and concealment without an incision at the penoscrotal junction. When more severe defect is present, a Y shaped incision is made at the penoscrotal junction to mobilize skin flaps to correct the deficit. In our cohort of 885 patients, 736 were corrected using the paraphimotic band technique while 149 underwent a complex scrotoplasty. None of the patients required a secondary surgery for complications.
摘要：
包皮环切术通常进行，但解剖变异会发生，如果处理不当，可能会影响结果。隐藏式阴茎和阴囊织带的组合相当普遍，并且存在严重程度。如果不修理,这可能导致阴茎埋藏，导致阴茎粘连，伤口愈合问题，并使阴茎在缩回位置后显得更短。我们提出了我们的技术，它是可重复的，并且在解决这两个问题方面非常成功。近发带方法更常见，并且能够可靠地纠正织带和隐藏，而不会在阴囊连接处切开。当存在更严重的缺陷时，在阴囊连接处做一个Y形切口，以动员皮瓣来纠正缺陷。在我们885名患者的队列中，736例使用准修带技术进行了矫正，而149例进行了复杂的阴囊成形术。所有患者均未因并发症需要二次手术。
