Patient and parent satisfaction after surgical repair of concealed penis in children

Abstract Background Concealed penis in children is a morbid condition that needs special attention due to its negative psychological impact on both parents and patients. It represents a unique challenge due to the multifactorial nature of its etiology that requires different surgical approaches tail...

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Main Authors: Amr Mehrez, Osama El Gamal, Mohamed Adel Omar, Mohamed Elmaadawy, Salah Nagla
Format: Article
Language:English
Published: SpringerOpen 2025-02-01
Series:African Journal of Urology
Subjects:
Online Access:https://doi.org/10.1186/s12301-025-00484-z
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author Amr Mehrez
Osama El Gamal
Mohamed Adel Omar
Mohamed Elmaadawy
Salah Nagla
author_facet Amr Mehrez
Osama El Gamal
Mohamed Adel Omar
Mohamed Elmaadawy
Salah Nagla
author_sort Amr Mehrez
collection DOAJ
description Abstract Background Concealed penis in children is a morbid condition that needs special attention due to its negative psychological impact on both parents and patients. It represents a unique challenge due to the multifactorial nature of its etiology that requires different surgical approaches tailored to each case. The aim of this study was to evaluate parents’ satisfaction after surgical repair of concealed penis in children. Methods The study was carried out on male patients, aged < 18 years, diagnosed with concealed penis. All patients were subjected to repair of concealed penis. Adolescents and parents’ satisfaction were measured 3 months after concealed penis repair by 4 tools including a pre-validated questionnaire to evaluate outcome of the surgical treatment, the pediatric penile perception score for penile morphology, the patient’s global impressions of improvement scale, and rating the satisfaction with the final penile appearance by an expert independent urologist. Results There was a significant negative correlation between the age of children and the global impressions of improvement (r =  0.358; P = 0.038) (better levels of parents’ satisfaction are associated with lower age group of children). The mean exposed penile length was significantly higher after surgical correction of concealed penis (P =  < 0.001). Postoperative satisfaction with penile morphology according to obesity and circumcision before surgical repair was significantly different between patients (P < 0.05). Conclusions Surgical repair of concealed penis generally has high rate of excellent surgical outcomes. It has good cosmetic results with low rate of postoperative complications and achieve high grades of parents satisfaction.
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spelling doaj-art-227bd99a429843dbb10b116828ab47232025-02-09T12:43:41ZengSpringerOpenAfrican Journal of Urology1961-99872025-02-013111810.1186/s12301-025-00484-zPatient and parent satisfaction after surgical repair of concealed penis in childrenAmr Mehrez0Osama El Gamal1Mohamed Adel Omar2Mohamed Elmaadawy3Salah Nagla4Tanta UniversityTanta UniversityTanta UniversityTanta UniversityTanta UniversityAbstract Background Concealed penis in children is a morbid condition that needs special attention due to its negative psychological impact on both parents and patients. It represents a unique challenge due to the multifactorial nature of its etiology that requires different surgical approaches tailored to each case. The aim of this study was to evaluate parents’ satisfaction after surgical repair of concealed penis in children. Methods The study was carried out on male patients, aged < 18 years, diagnosed with concealed penis. All patients were subjected to repair of concealed penis. Adolescents and parents’ satisfaction were measured 3 months after concealed penis repair by 4 tools including a pre-validated questionnaire to evaluate outcome of the surgical treatment, the pediatric penile perception score for penile morphology, the patient’s global impressions of improvement scale, and rating the satisfaction with the final penile appearance by an expert independent urologist. Results There was a significant negative correlation between the age of children and the global impressions of improvement (r =  0.358; P = 0.038) (better levels of parents’ satisfaction are associated with lower age group of children). The mean exposed penile length was significantly higher after surgical correction of concealed penis (P =  < 0.001). Postoperative satisfaction with penile morphology according to obesity and circumcision before surgical repair was significantly different between patients (P < 0.05). Conclusions Surgical repair of concealed penis generally has high rate of excellent surgical outcomes. It has good cosmetic results with low rate of postoperative complications and achieve high grades of parents satisfaction.https://doi.org/10.1186/s12301-025-00484-zSatisfaction scoreChildrenConcealed penis
spellingShingle Amr Mehrez
Osama El Gamal
Mohamed Adel Omar
Mohamed Elmaadawy
Salah Nagla
Patient and parent satisfaction after surgical repair of concealed penis in children
African Journal of Urology
Satisfaction score
Children
Concealed penis
title Patient and parent satisfaction after surgical repair of concealed penis in children
title_full Patient and parent satisfaction after surgical repair of concealed penis in children
title_fullStr Patient and parent satisfaction after surgical repair of concealed penis in children
title_full_unstemmed Patient and parent satisfaction after surgical repair of concealed penis in children
title_short Patient and parent satisfaction after surgical repair of concealed penis in children
title_sort patient and parent satisfaction after surgical repair of concealed penis in children
topic Satisfaction score
Children
Concealed penis
url https://doi.org/10.1186/s12301-025-00484-z
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AT mohamedelmaadawy patientandparentsatisfactionaftersurgicalrepairofconcealedpenisinchildren
AT salahnagla patientandparentsatisfactionaftersurgicalrepairofconcealedpenisinchildren