Surgical Repair of Pediatric Concealed Penis is Generally Safe and Efficacious. Criteria for Pediatric Concealed Penis Surgical Success Are Still Poorly Standardized, so Our Study Presents a Multi-dimensional Framework Consisting of Morphometric Measurements and Subjective Psychometric Parameters.

NCT07615439 | Completed DMC

• 1 other identifier: Approval Number. KFSIRB200-351
• Study Type: observational
• Target: 75
• Locations: 1 country
• Sites: 1

Brief Summary

A concealed penis (CP) refers to a condition in which the normally-sized penis appears smaller or completely hidden in the prepubic area. Surgical repair of pediatric concealed penis is generally safe and efficacious. Criteria for pediatric concealed penis surgical success are still poorly standardized, so our study presents a multi-dimensional framework consisting of objective morphometric measurement (CI) and subjective psychometric tools (BP Questionnaire and MPPPS) for comprehensive evaluation of long-term anatomical, functional and aesthetic outcomes following the repair.

Conditions

Concealed Penis

Keywords

degloving; satisfaction; concealed

Outcome Measures

Primary Outcomes (1)

• The immediate postoperative period

  number of participants with postoperative penile skin edema

  1-2 weeks

Secondary Outcomes (1)

• The longterm postoperative results

  1 year

Interventions

penoplasty by complete penile degloving to release all anomalous restrictive attachments, followed by phallopexy via proper fixation of the penile base PROCEDURE

Under GA, in the supine position, a 5/0 vicryl traction suture was applied to the glans penis. A circumferential incision was made, leaving about 5 mm of collar mucosa below the coronal sulcus. In subdartos plane, the penis was completely degloved to its base at the peno-pubic angle dorsally and to the peno-scrotal angle ventrally. All dysgenetic dartos attachments were sharply excised using scissors . Hemostasis was maintained using bipolar diathermy. A two-point penile fixation technique was performed utilizing 4/0 PDS (polydioxanone) sutures, as the penile base was anchored to pubic fascia, at 2 and 10 o'clock positions . Then dermis of penile skin is sutured to Buck's fascia at the the penile base and the midshaft using 5/0 PDS sutures on both sides of the dorsal neurovascular bundle. Following the excision of redundant preputial skin, the remaining skin was approximated to collar mucosa by interrupted 6/0 Vicryl stitches . A compression dressing soaked wit

Eligibility Criteria

• Age: 1 Year - 12 Years
• Gender Eligibility Details: concealed penis is a morbidity that happens to males only
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

The study included 75 pediatric patients (age ranged from 1 to 12 years) diagnosed with concealed penis

You may qualify if:

• children diagnosed with concealed penis, age ranged from 1 to 12 years

You may not qualify if:

• children with micropenis, hypospadius, cryptorchidism, and blood coagulation disorders.

Sponsors & Collaborators

• Eslam Saad Hamza: lead

Study Sites (1)

Omar Afandy

Kafr ash Shaykh, 33516, Egypt

Location

MeSH Terms

Conditions

Degloving Injuries; Personal Satisfaction

Condition Hierarchy (Ancestors)

Soft Tissue Injuries; Wounds and Injuries; Behavior

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 12 Months
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: principal investigator

Study Record Dates

• First Submitted: May 19, 2026
• First Posted: May 29, 2026
• Study Start: December 1, 2023
• Primary Completion: December 1, 2024
• Study Completion: December 1, 2025
• Last Updated: May 29, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)