{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T10:03:15Z","timestamp":1791021795866,"version":"4.1.0"},"reference-count":21,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,3]]},"abstract":"\n Buried penis in children presents significant surgical challenges, particularly in severe cases involving skin deficiency and fascial abnormalities. Traditional fixation (TF)-based techniques often yield suboptimal cosmetic and functional outcomes. This study evaluated a novel full-thickness skin graft (FTSG) technique using inner preputial skin for congenital buried penis. A retrospective analysis was conducted on boys aged 4\u20137 years who underwent surgical management between January 2020 and December 2024 at the Department of Urology, Children\u2019s Hospital of Fudan University, National Children\u2019s Medical Center (Shanghai, China). Patients were divided into FTSG (\n n<\/jats:italic>\n = 132) and TF (\n n<\/jats:italic>\n = 141) groups. The FTSG technique achieved greater penile length at 6 months (mean \u00b1 standard deviation [s.d.]: 3.52 \u00b1 0.51 cm vs 3.21 \u00b1 0.59 cm,\n P<\/jats:italic>\n < 0.001) and 12 months (mean \u00b1 s.d.: 3.88 \u00b1 0.61 cm vs 3.39 \u00b1 0.69 cm,\n P<\/jats:italic>\n < 0.001) postoperatively, with lower rates of skin contracture (0.8% vs 6.4%,\n P<\/jats:italic>\n = 0.020) and retraction (1.5% vs 7.8%,\n P<\/jats:italic>\n = 0.015), compared to TF group. Operative time in FTSG group was slightly longer than that in TF group (mean \u00b1 s.d.: 70.92 \u00b1 9.10 min vs 65.70 \u00b1 8.66 min,\n P<\/jats:italic>\n < 0.001) without additional burden. Parental satisfaction for penile size and morphology was higher (P < 0.001 for both) in FTSG group than TF group, while voiding satisfaction was comparable (\n P<\/jats:italic>\n = 0.239). These findings suggest that an FTSG using inner preputial tissue is a safe and effective alternative to TF techniques for children with severe congenital buried penis, providing improved penile exposure, enhanced cosmetic outcomes, and a reduced risk of recurrence. Longer-term studies are warranted to evaluate graft adaptation during penile growth and puberty.\n <\/jats:p>","DOI":"10.4103\/aja2025100","type":"journal-article","created":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T15:00:17Z","timestamp":1769785217000},"page":"213-218","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["A novel full-thickness skin graft technique for the surgical management of congenital buried penis in children"],"prefix":"10.4103","volume":"28","author":[{"given":"Hang","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Urology, Affiliated Children\u2019s Hospital of Jiangnan University (Wuxi Children\u2019s Hospital), Wuxi 214000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yue","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Urology, Affiliated Children\u2019s Hospital of Jiangnan University (Wuxi Children\u2019s Hospital), Wuxi 214000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing-Jing","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Infectious Disease, Affiliated Children\u2019s Hospital of Jiangnan University (Wuxi Children\u2019s Hospital), Wuxi 214000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin-Long","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Urology, Affiliated Children\u2019s Hospital of Jiangnan University (Wuxi Children\u2019s Hospital), Wuxi 214000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao-Liang","family":"Fang","sequence":"additional","affiliation":[{"name":"Department of Urology, Children\u2019s Hospital of Fudan University, National Children\u2019s Medical Center, Shanghai 200000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"R1-20260309","doi-asserted-by":"crossref","first-page":"e470","DOI":"10.1002\/bco2.470","article-title":"Concealed penis:a review of multilevel classification and surgical reconstruction techniques","volume":"6","author":"Xiang","year":"2025","journal-title":"BJUI Compass"},{"key":"R2-20260309","doi-asserted-by":"crossref","first-page":"14428","DOI":"10.1038\/s41598-025-99589-2","article-title":"Comparative efficacy of modified Shiraki procedure and pedicled island preputial flap in the treatment of severe concealed penis in children","volume":"15","author":"Pan","year":"2025","journal-title":"Sci Rep"},{"key":"R6-20260309","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1186\/s12894-024-01681-8","article-title":"Investigating the outcomes of full-thickness skin graft in the reconstruction of concealed penis in children aged 7 to 14 years","volume":"24","author":"Hosseinpour","year":"2024","journal-title":"BMC Urol"},{"key":"R7-20260309","doi-asserted-by":"crossref","first-page":"1080","DOI":"10.1016\/j.juro.2008.05.060","article-title":"The pediatric penile perception score:an instrument for patient self-assessment and surgeon evaluation after hypospadias repair","volume":"180","author":"Weber","year":"2008","journal-title":"J Urol"},{"key":"R8-20260309","first-page":"1254","article-title":"Penile length assessment of children treated for primary buried penis:can satisfying penile growth always be achieved?","volume":"10","author":"Pensabene","year":"2023","journal-title":"Children (Basel)"},{"key":"R9-20260309","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1016\/j.jpurol.2021.12.016","article-title":"Buried penis surgical treatment in children:dorsal dartos flap versus fascia fixation. 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