Z-plasty and Heineke-Mikulicz Scrotoplasty in the Management of Penoscrotal Web

Study Overview
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Brief Summary
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The goal of this clinical trial is to compare the surgical outcome of Z-scrotoplasty versus Heineke-Mikulicz scrotoplasty in the management of congenital penoscrotal web in pediatric age group. The main question[s] it aims to answer are: • Question 1: Is there a difference in the surgical outcome between using Z-scrotoplasty and Heinke Miculickz scrotoplasty in the management of congenital penoscrotal web?] Participants will be divided into two groups; Group A treated by Z-scrotoplasty and Group B treated by Heineke Miculickz scrotoplasty.

Detailed Description
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Background: The penoscrotal web may be congenital or acquired after excessive removal of ventral skin during circumcision. There are several previously described surgical techniques for the treatment of congenital webbed penis without a clear comparison between their outcomes. Purpose: the objective of our study was to compare the surgical results of Z-scrotoplasty and Heineke-Mikulicz scrotoplasty in the treatment of congenital webbed penis. Patients & Methods: Our prospective study included 40 uncircumcised patients presented with a webbed penis. They were divided into group A which was treated by Z-scrotoplasty and group B which was treated by Heineke-Mikulicz scrotoplasty.

Official Title
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Evaluation of Z-plasty Versus Heineke-Mikulicz Scrotoplasty in the Management of Penoscrotal Web in Pediatric Age Group

Conditions
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Urologic Diseases

Intervention / Treatment
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* Procedure: Z-scrotoplasty
* Procedure: Heineke-Mikulicz scrotoplasty


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Patients with congenital penoscrotal web in the pediatric age group Exclusion Criteria: Patients with any penile anomalies
Sexes Eligible for Study
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Male

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Z-scrotoplasty<br>Pediatric patients with congenital penoscrotal web who will be treated by Z-scrotoplasty | Procedure: Z-scrotoplasty<br>* Z shape incision of the penoscrotal web and closure<br>|
| Experimental: Heineke-Mikulicz scrotoplasty<br>Pediatric patients with congenital penoscrotal web who will be treated by Heineke-Mikulicz scrotoplasty | Procedure: Heineke-Mikulicz scrotoplasty<br>* Transverse incision of the penoscrotal web with vertical closure<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Number of patients who developed post-operative penile edema, hematoma, adequate skin coverage and wound contracture with recurrent webbing will be assessed | Post-operative follow up for the detection of penile edema, hematoma, skin coverage and the development of any wound contracture and consequently recurrent webbing | One post-operative year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Penoscrotal web, Z-scrotoplasty, Heineke-Mikulicz