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The goal of this clinical trial is to compare the surgical outcome of Z-scrotoplasty versus Heineke-Mikulicz scrotoplasty in the management of congenital penoscrotal web in pediatric age group.
The main question[s] it aims to answer are:
• Question 1: Is there a difference in the surgical outcome between using Z-scrotoplasty and Heinke Miculickz scrotoplasty in the management of congenital penoscrotal web?] Participants will be divided into two groups; Group A treated by Z-scrotoplasty and Group B treated by Heineke Miculickz scrotoplasty.
Background: The penoscrotal web may be congenital or acquired after excessive removal of ventral skin during circumcision. There are several previously described surgical techniques for the treatment of congenital webbed penis without a clear comparison between their outcomes. Purpose: the objective of our study was to compare the surgical results of Z-scrotoplasty and Heineke-Mikulicz scrotoplasty in the treatment of congenital webbed penis. Patients & Methods: Our prospective study included 40 uncircumcised patients presented with a webbed penis. They were divided into group A which was treated by Z-scrotoplasty and group B which was treated by Heineke-Mikulicz scrotoplasty.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Z-scrotoplasty | Experimental | Pediatric patients with congenital penoscrotal web who will be treated by Z-scrotoplasty |
|
| Heineke-Mikulicz scrotoplasty | Experimental | Pediatric patients with congenital penoscrotal web who will be treated by Heineke-Mikulicz scrotoplasty |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Z-scrotoplasty | Procedure | Z shape incision of the penoscrotal web and closure |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Number of patients who developed post-operative penile edema, hematoma, adequate skin coverage and wound contracture with recurrent webbing will be assessed | Post-operative follow up for the detection of penile edema, hematoma, skin coverage and the development of any wound contracture and consequently recurrent webbing | One post-operative year |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Ahmed Elrouby, MD | Pediatric Surgery department | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine | Alexandria | 12345 | Egypt |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 38519937 | Derived | Elrouby A. Evaluation of Z-plasty versus Heineke-Mikulicz scrotoplasty in the management of penoscrotal web in pediatric age group. BMC Urol. 2024 Mar 22;24(1):66. doi: 10.1186/s12894-024-01450-7. |
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| ID | Term |
|---|---|
| D014570 | Urologic Diseases |
| ID | Term |
|---|---|
| D052776 | Female Urogenital Diseases |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D052801 | Male Urogenital Diseases |
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| Heineke-Mikulicz scrotoplasty |
| Procedure |
Transverse incision of the penoscrotal web with vertical closure |
|