{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T18:29:02Z","timestamp":1785781742520,"version":"3.56.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T00:00:00Z","timestamp":1711065600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T00:00:00Z","timestamp":1711065600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009827","name":"Alexandria University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009827","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Urol"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>The penoscrotal web may be congenital or acquired following excessive ventral skin removal during circumcision. Several surgical techniques were described for the treatment of congenital webbed penis without a clear comparison between their outcomes. This prospective study aimed at comparing the surgical results of Z-scrotoplasty and Heineke-Mikulicz scrotoplasty in the treatment of congenital webbed penis in uncircumcised pediatric patients.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Our study included 40 uncircumcised patients who were divided randomly into two groups; Group A included 20 patients who were treated by Z-scrotoplasty and Group B included the other 20 patients who were treated by Heineke-Mikulicz scrotoplasty. All patients were circumcised at the end of the procedure.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The surgical outcome was good without a significant difference between the two groups in 36 patients. Recurrent webbing developed in one patient of Group A and in three patients of Group B (<jats:sup>FE<\/jats:sup><jats:italic>p<\/jats:italic>\u2009=\u20090.605) The only significant difference between the two groups was the operative duration which was shorter in Group B than in Group A (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001*).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Treatment of congenital penoscrotal web in the pediatric age group could be done with either Z-scrotoplasty or Heineke-Mikulicz scrotoplasty with satisfactory results, however, without significant difference in the surgical outcomes.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Trial registration<\/jats:title>\n                <jats:p>\n\u2022 Registration Number: ClinicalTrials.gov ID: NCT05817760.<\/jats:p>\n                <jats:p>\n\u2022 Registration release date: April 5, 2023.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12894-024-01450-7","type":"journal-article","created":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T14:02:02Z","timestamp":1711116122000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Evaluation of Z-plasty versus Heineke-Mikulicz scrotoplasty in the management of penoscrotal web in pediatric age group"],"prefix":"10.1186","volume":"24","author":[{"given":"Ahmed","family":"Elrouby","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,22]]},"reference":[{"key":"1450_CR1","doi-asserted-by":"crossref","unstructured":"Bonitz RP, Hanna MK. Correction of congenital penoscrotal webbing in children: A retrospective review of three surgical techniques. J Pediatr Urol. 2016;12(3):161.e1\u2013161.e5. Available from: https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1477513116000358.","DOI":"10.1016\/j.jpurol.2016.02.003"},{"key":"1450_CR2","doi-asserted-by":"crossref","unstructured":"Maizels M, Meade P, Rosoklija I, Mitchell M, Liu D. Outcome of circumcision for newborns with penoscrotal web: oblique skin incision followed by penis shaft skin physical therapy shows success. J Pediatr Urol. 2019;15(4):404.e1\u2013404.e8. Available from: https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S147751311930141X.","DOI":"10.1016\/j.jpurol.2019.05.021"},{"issue":"2","key":"1450_CR3","doi-asserted-by":"publisher","first-page":"101","DOI":"10.1080\/2090598X.2020.1722518","volume":"18","author":"MA Negm","year":"2020","unstructured":"Negm MA, Nagla SA. Surgical management of post-circumcision webbed penis in children. Arab J Urol. 2020;18(2):101\u20135. https:\/\/doi.org\/10.1080\/2090598X.2020.1722518.","journal-title":"Arab J Urol"},{"key":"1450_CR4","doi-asserted-by":"crossref","unstructured":"Chang S-J, Liu S-P, Hsieh J-T. Correcting Penoscrotal Web with the V-Y Advancement Technique. J Sex Med. 2008;5(1):249\u201350. Available from: https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1743609515318154.","DOI":"10.1111\/j.1743-6109.2007.00647.x"},{"key":"1450_CR5","doi-asserted-by":"crossref","unstructured":"WHITE T. Vagotomy and Pyloroplasty. In: Surgical Pitfalls. Elsevier; 2009. p. 167\u201373. Available from: https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/B9781416029519500256.","DOI":"10.1016\/B978-141602951-9.50025-6"},{"key":"1450_CR6","unstructured":"Lee EC, Papaioannou N. Minimal surgery for chronic obstruction in patients with extensive or universal Crohn\u2019s disease. Ann R Coll Surg Engl. 1982;64(4):229\u201333. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/7092090."},{"key":"1450_CR7","doi-asserted-by":"crossref","unstructured":"Katariya RN, Sood S, Rao PG, Rao PLNG. Stricture-plasty for tubercular strictures of the gastro-intestinal tract. Br J Surg. 2005;64(7):496\u20138. Available from: https:\/\/academic.oup.com\/bjs\/article\/64\/7\/496\/6193563.","DOI":"10.1002\/bjs.1800640713"},{"key":"1450_CR8","unstructured":"Statistics IBMS. IBM SPSS Statistics for Windows \u5b89\u88dd\u6307\u793a( \u55ae\u4e00\u4f7f\u7528\u8005 ). 2011;2010;1\u20135."},{"key":"1450_CR9","doi-asserted-by":"crossref","unstructured":"Bergeson PS, Hopkin RJ, Bailey RB, McGill LC, Piatt JP. The inconspicuous penis. Pediatrics. 1993;92(6):794\u20139. Available from: http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/8233739.","DOI":"10.1542\/peds.92.6.794"},{"key":"1450_CR10","doi-asserted-by":"crossref","unstructured":"El Gohary MA, El-Koutby M. Webbed penis: A new classification. J Indian Assoc Pediatr Surg. 2010;15(2):50. Available from: http:\/\/www.jiaps.com\/text.asp?2010\/15\/2\/50\/70637.","DOI":"10.4103\/0971-9261.70637"}],"container-title":["BMC Urology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12894-024-01450-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12894-024-01450-7\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12894-024-01450-7.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,22]],"date-time":"2024-03-22T14:02:08Z","timestamp":1711116128000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcurol.biomedcentral.com\/articles\/10.1186\/s12894-024-01450-7"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,22]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1450"],"URL":"https:\/\/doi.org\/10.1186\/s12894-024-01450-7","relation":{},"ISSN":["1471-2490"],"issn-type":[{"value":"1471-2490","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,22]]},"assertion":[{"value":"1 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"22 March 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the ethical committee of the Faculty of Medicine, Alexandria University, Egypt (N: 0305354.18\/11\/2021) in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. We read and complied with the policy of the journal regarding ethical consent. An informed consent was taken from all participants.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"66"}}