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 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 is generally safe and feasible with high rate of excellent surgical outcomes. It has good functional and cosmetic results with low rate of postoperative complications and achieve high grades of parents satisfaction.