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A Novel Suspensory Ligament Penodermal Fixation Technique Versus Dorsal Tunica Albuginea Fixation for Pediatric Buried Penis:

NCT07675915 · Status: NOT_YET_RECRUITING · Phase: NA · Type: INTERVENTIONAL · Enrollment: 40

Last updated 2026-06-30

No results posted yet for this study

Summary

The aim of the work to compare the outcomes of suspensory ligament fixation to the sub-dermis and dorsal tunica albuginea fixation in terms of success rate, need for auxiliary procedures, and complication rates in the buried penis.

Conditions

  • Penis/Surgery
  • Fixation
  • Ligament

Interventions

PROCEDURE

Group A: Suspensory ligament fixation

All patients will receive a prophylactic antibiotic before beginning of the procedure. The operative area will be cleaned with 10% povidine iodine and draped in sterile manner. We will perform the procedure in the supine position. The technique consists of complete degloving of the penis with release of any tethering tissues and exposure of the suspensory ligament at the base of the penile shaft. The suspensory ligament is identified, and fixation suture is placed between the ligament and the deep subdermal layer of the suprapubic skin without involving the tunica albuginea. This suture is positioned to secure the penile base and maintain a stable penopubic angle, helping to prevent retraction. Care is taken to ensure appropriate depth and tension of the sutures to avoid over-tightening, followed by re-draping and closure of the skin. This will also be associated with placement of 2 fixation sutures at the penoscrotal junction to identify Penoscrotal angle.

PROCEDURE

Group B: Tunica albuginea fixation

All patients will receive prophylactic antibiotics before the beginning of the procedure. Operative area will be cleaned with 10% povidone iodine and draped in sterile manner. We will perform the procedure in supine position, The technique consists of complete degloving of the penis and release of any tethering tissues, exposure of the base of the penile shaft. Sutures are then placed between the tunica albuginea on the dorsal aspect of the penile base and the deep dermal (subdermal) layer of the suprapubic skin in the direction of 3 and 9 o'clock to avoid the neurovascular bundle. These sutures are positioned symmetrically to secure the penile shaft in a fixed position relative to the overlying skin. Care is taken to place the sutures at an appropriate depth and tension, followed by re-draping and closure of the skin. This will also be associated with placement of 2 fixation sutures at the penoscrotal junction to identify penoscrotal angle.

Sponsors & Collaborators

  • Tanta University

    lead OTHER

Study Design

Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Model
PARALLEL

Eligibility

Min Age
2 Months
Max Age
16 Years
Sex
MALE
Healthy Volunteers
No

Timeline & Regulatory

Start
2026-06-30
Primary Completion
2027-06-30
Completion
2027-07-30

Countries

  • Egypt

Study Locations

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Read the full study record

This page highlights key information. For complete eligibility criteria, study locations, investigator contacts, and the full protocol, visit the original record on ClinicalTrials.gov.

View NCT07675915 on ClinicalTrials.gov