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Penile Length Assessment of Children Treated for Primary Buried Penis: Can Satisfying Penile Growth Always Be Achieved?

Primary buried (BP) penis is describes as a small penis caused by a penile ligaments anomaly; it is unclear if a primary BP could reach a normal length. We selected 49 patients treated at our institution between 2015 and 2020 in order to post-operatively evaluate the SPL after one year. SPL was eval...

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Autores principales: Pensabene, Marco, Sergio, Maria, Baldanza, Fabio, Grasso, Francesco, Serra, Gregorio, Spataro, Benedetto, Bonfiglio, Roberta, Patti, Maria, Maggiore, Valentina, Cambiaso, Chiara, Giuffré, Mario, Corsello, Giovanni, Cimador, Marcello, Di Pace, Maria Rita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10377962/
https://www.ncbi.nlm.nih.gov/pubmed/37508751
http://dx.doi.org/10.3390/children10071254
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author Pensabene, Marco
Sergio, Maria
Baldanza, Fabio
Grasso, Francesco
Serra, Gregorio
Spataro, Benedetto
Bonfiglio, Roberta
Patti, Maria
Maggiore, Valentina
Cambiaso, Chiara
Giuffré, Mario
Corsello, Giovanni
Cimador, Marcello
Di Pace, Maria Rita
author_facet Pensabene, Marco
Sergio, Maria
Baldanza, Fabio
Grasso, Francesco
Serra, Gregorio
Spataro, Benedetto
Bonfiglio, Roberta
Patti, Maria
Maggiore, Valentina
Cambiaso, Chiara
Giuffré, Mario
Corsello, Giovanni
Cimador, Marcello
Di Pace, Maria Rita
author_sort Pensabene, Marco
collection PubMed
description Primary buried (BP) penis is describes as a small penis caused by a penile ligaments anomaly; it is unclear if a primary BP could reach a normal length. We selected 49 patients treated at our institution between 2015 and 2020 in order to post-operatively evaluate the SPL after one year. SPL was evaluated according to the PH Tanner staging system for pre-pubertal patients according to age-normalized values. A micropenis was detected if the SPL was below 2.5 SD. A normal SPL was found in thirty-two patients, eighteen were in PH Stage 1, four were in PH Stage 2, six were in PH Stage 3, and four were in PH Stage 5. Seventeen patients showed a reduced SPL; in seven of these (four in PH Stage 4 and three in PH Stage 5), their SPL was <2.5 ST. The difference in micropenis prevalence between the pre-pubertal and post-pubertal patients was significant (p = 0.038). A primary BP grows normally during the pre-pubertal period, where patients frequently showed a normal SPL, but it seems to be unable to reach a normal length in the higher PH stages, where the SPL is used to detect a micropenis. We suggest that a primary BP should be considered not as a simple defect of the penile ligaments and surrounding tissues, but as an incomplete manifestation of a micropenis due to a growth slowdown of the organ in late puberty.
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spelling pubmed-103779622023-07-29 Penile Length Assessment of Children Treated for Primary Buried Penis: Can Satisfying Penile Growth Always Be Achieved? Pensabene, Marco Sergio, Maria Baldanza, Fabio Grasso, Francesco Serra, Gregorio Spataro, Benedetto Bonfiglio, Roberta Patti, Maria Maggiore, Valentina Cambiaso, Chiara Giuffré, Mario Corsello, Giovanni Cimador, Marcello Di Pace, Maria Rita Children (Basel) Article Primary buried (BP) penis is describes as a small penis caused by a penile ligaments anomaly; it is unclear if a primary BP could reach a normal length. We selected 49 patients treated at our institution between 2015 and 2020 in order to post-operatively evaluate the SPL after one year. SPL was evaluated according to the PH Tanner staging system for pre-pubertal patients according to age-normalized values. A micropenis was detected if the SPL was below 2.5 SD. A normal SPL was found in thirty-two patients, eighteen were in PH Stage 1, four were in PH Stage 2, six were in PH Stage 3, and four were in PH Stage 5. Seventeen patients showed a reduced SPL; in seven of these (four in PH Stage 4 and three in PH Stage 5), their SPL was <2.5 ST. The difference in micropenis prevalence between the pre-pubertal and post-pubertal patients was significant (p = 0.038). A primary BP grows normally during the pre-pubertal period, where patients frequently showed a normal SPL, but it seems to be unable to reach a normal length in the higher PH stages, where the SPL is used to detect a micropenis. We suggest that a primary BP should be considered not as a simple defect of the penile ligaments and surrounding tissues, but as an incomplete manifestation of a micropenis due to a growth slowdown of the organ in late puberty. MDPI 2023-07-21 /pmc/articles/PMC10377962/ /pubmed/37508751 http://dx.doi.org/10.3390/children10071254 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Pensabene, Marco
Sergio, Maria
Baldanza, Fabio
Grasso, Francesco
Serra, Gregorio
Spataro, Benedetto
Bonfiglio, Roberta
Patti, Maria
Maggiore, Valentina
Cambiaso, Chiara
Giuffré, Mario
Corsello, Giovanni
Cimador, Marcello
Di Pace, Maria Rita
Penile Length Assessment of Children Treated for Primary Buried Penis: Can Satisfying Penile Growth Always Be Achieved?
title Penile Length Assessment of Children Treated for Primary Buried Penis: Can Satisfying Penile Growth Always Be Achieved?
title_full Penile Length Assessment of Children Treated for Primary Buried Penis: Can Satisfying Penile Growth Always Be Achieved?
title_fullStr Penile Length Assessment of Children Treated for Primary Buried Penis: Can Satisfying Penile Growth Always Be Achieved?
title_full_unstemmed Penile Length Assessment of Children Treated for Primary Buried Penis: Can Satisfying Penile Growth Always Be Achieved?
title_short Penile Length Assessment of Children Treated for Primary Buried Penis: Can Satisfying Penile Growth Always Be Achieved?
title_sort penile length assessment of children treated for primary buried penis: can satisfying penile growth always be achieved?
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10377962/
https://www.ncbi.nlm.nih.gov/pubmed/37508751
http://dx.doi.org/10.3390/children10071254
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