숨은음경 교정수술에 대한 보호자의 장기 만족도
Long-term Parental Satisfaction after Surgical Treatment of Concealed Penis
Purpose: Management of concealed penis continues to evolve, with several manuscripts having been published over the last several decades. Each describes a novel surgical approach, but little has been written concerning long-term results. We conducted a parental survey to assess long-term satisfaction with the surgical correction of concealed penis.Materials and Methods: We reviewed 31 medical records of patients treated for concealed penis between 2000 and 2005. The parental survey was performed via telephone interview. The mean follow-up duration was 26.3 months(range 14 to 84 months). The questionnaire addressed the appearance and accessibility of the penis, hygiene care, severity of concealment, negative concerns about the appearance of the penis, and parent satisfaction. Parental satisfaction was also analyzed according to age, phimosis, method of correction, and body mass index(BMI).Results: The mean patient age was 7.3±6.5 years(range 14 month to 14 years). Before surgery, 67.7% of parents complained of difficulty with hygiene care, 80.6% complained of a completely hidden penis, and 83.3% complained of negative feelings about the appearance of the penis. However, most of these complaints resolved after surgical correction. On the telephone interview, 93.5% of parents said there was improvement in the accessibility of the penis, 80.6% said there was improvement in the length of the penis, and 87.1% said they would recommend the surgery to another boy with the same problem. There were no significant differences in parental satisfaction with respect to age, phimosis, method of correction, or BMI.Conclusions: Our data demonstrate that most parents were satisfied with the surgical correction of concealed penis, regardless of patient age, phimosis, surgical method, or BMI.
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