1. Surgical Technique Congenital Megaprepuce: Surgical Correction
International Braz J Urol Vol. 34 (3): 313-318, May - June, 2008
Congenital Megaprepuce: A New Alternative Technique for
Surgical Correction
Jovelino Q. Leao, Luiz G. Freitas Filho, Adriano L. Gomes, Antonio C. Heinsich, Jose
Carnevale
Division of Urology (JQL, LGFF, ALG, ACH, JC), Darcy Vargas Children’s Hospital, Sao Paulo,
and Division of Pediatric Surgery (LGFF), Federal University of Sao Paulo, Sao Paulo, Brazil
ABSTRACT
Objective: To present a new alternative technique for surgical treatment of congenital megaprepuce.
Materials and Methods:
Results:
Conclusion:
Key words: penis; children; foreskin; congenital abnormalities; surgery
Int Braz J Urol. 2008; 34: 313-8
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INTRODUCTION
account the penoscrotal transposition aspect of the
appearance.
MATERIALS AND METHODS
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2. Congenital Megaprepuce: Surgical Correction
RESULTS
tract infections. After the surgical treatment all pa-
COMMENTS
Figure 1 – The arrow shows an aspect of penoscrotal transposi-
tion in a patient with megaprepuce.
genitalia an aspect of a penoscrotal transposition.
-
Figure 2 – Typical penoscrotal ballooning of the congenital Figure 3 –
megaprepuce. foreskin is squeezed.
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3. Congenital Megaprepuce: Surgical Correction
A
B
Figure 5 – Traction in the ventral preputial ring changing the
broken incision into a strait line.
Figure 4 – A) Correction o penoscrotal transposition. B) Sche-
matic drawing. Arrows show the lateral incisions.
315

4. Congenital Megaprepuce: Surgical Correction
A
B
Figure 7 – Stitches incorporate the foreskin to the penile shaft.
-
Figure 6 – A) Cutting the inner prepuce. B) Schematic draw-
ing.
prepuce.
316

5. Congenital Megaprepuce: Surgical Correction
A
B
Figure 9 – Postoperative aspect 18 months after surgical cor-
rection.
CONFLICT OF INTEREST
REFERENCES
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4.
Figure 8 – A) and B) Postoperative surgical aspect.
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6. Congenital Megaprepuce: Surgical Correction
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Accepted after revision:
December 11, 2007
Correspondence address:
318