Penile Anomalies in Adolescence

This article considers the impact and outcomes of both treatment and underlying condition of penile anomalies in adolescent males. Major congenital anomalies (such as exstrophy/epispadias) are discussed, including the psychological outcomes, common problems (such as corporal asymmetry, chordee, and...

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Main Authors: Dan Wood, Christopher Woodhouse
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2011.38
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author Dan Wood
Christopher Woodhouse
author_facet Dan Wood
Christopher Woodhouse
author_sort Dan Wood
collection DOAJ
description This article considers the impact and outcomes of both treatment and underlying condition of penile anomalies in adolescent males. Major congenital anomalies (such as exstrophy/epispadias) are discussed, including the psychological outcomes, common problems (such as corporal asymmetry, chordee, and scarring) in this group, and surgical assessment for potential surgical candidates. The emergence of new surgical techniques continues to improve outcomes and potentially raises patient expectations. The importance of balanced discussion in conditions such as micropenis, including multidisciplinary support for patients, is important in order to achieve appropriate treatment decisions. Topical treatments may be of value, but in extreme cases, phalloplasty is a valuable option for patients to consider. In buried penis, the importance of careful assessment and, for the majority, a delay in surgery until puberty has completed is emphasised. In hypospadias patients, the variety of surgical procedures has complicated assessment of outcomes. It appears that true surgical success may be difficult to measure as many men who have had earlier operations are not reassessed in either puberty or adult life. There is also a brief discussion of acquired penile anomalies, including causation and treatment of lymphoedema, penile fracture/trauma, and priapism.
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spelling doaj-art-6f7a4ed4384a470dad2d5fd4b738f2922025-02-03T01:31:25ZengWileyThe Scientific World Journal1537-744X2011-01-011161462310.1100/tsw.2011.38Penile Anomalies in AdolescenceDan Wood0Christopher Woodhouse1Adolescent Urology Department, University College London Hospitals, UKAdolescent Urology Department, University College London Hospitals, UKThis article considers the impact and outcomes of both treatment and underlying condition of penile anomalies in adolescent males. Major congenital anomalies (such as exstrophy/epispadias) are discussed, including the psychological outcomes, common problems (such as corporal asymmetry, chordee, and scarring) in this group, and surgical assessment for potential surgical candidates. The emergence of new surgical techniques continues to improve outcomes and potentially raises patient expectations. The importance of balanced discussion in conditions such as micropenis, including multidisciplinary support for patients, is important in order to achieve appropriate treatment decisions. Topical treatments may be of value, but in extreme cases, phalloplasty is a valuable option for patients to consider. In buried penis, the importance of careful assessment and, for the majority, a delay in surgery until puberty has completed is emphasised. In hypospadias patients, the variety of surgical procedures has complicated assessment of outcomes. It appears that true surgical success may be difficult to measure as many men who have had earlier operations are not reassessed in either puberty or adult life. There is also a brief discussion of acquired penile anomalies, including causation and treatment of lymphoedema, penile fracture/trauma, and priapism.http://dx.doi.org/10.1100/tsw.2011.38
spellingShingle Dan Wood
Christopher Woodhouse
Penile Anomalies in Adolescence
The Scientific World Journal
title Penile Anomalies in Adolescence
title_full Penile Anomalies in Adolescence
title_fullStr Penile Anomalies in Adolescence
title_full_unstemmed Penile Anomalies in Adolescence
title_short Penile Anomalies in Adolescence
title_sort penile anomalies in adolescence
url http://dx.doi.org/10.1100/tsw.2011.38
work_keys_str_mv AT danwood penileanomaliesinadolescence
AT christopherwoodhouse penileanomaliesinadolescence