Megaprepuce: a systematic review of a rare condition with a controversial surgical management
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In brief
In brief
Systematic review examining megaprepuce, a rare congenital penile anomaly characterized by excessive inner foreskin and narrow phimotic ring. Reviews embryology, etiology, and surgical correction techniques, noting challenges in diagnosis due to overlap with other inconspicuous penis variants and limited long-term outcome data.
Written by the GCMD Library team from the article.
Abstract
Megaprepuce (MP) is a rare and challenging condition characterised by an excessive inner prepuce, paucity of penile skin and an extremely narrow phimotic ring. The aetiological factors leading to its development are poorly understood. A variety of surgical techniques have been described in the last 26 years mostly with small number of patients and short follow-up. It is also highly likely that some series have in the past included different variants of inconspicuous penis combining concealed penis, MP and webbed penis. This article is a systematic review of the literature on Megaprepuce; in particular the embryology, history, aetiology, and the surgical techniques available for the correction of this unique penile anomaly will be presented and discussed in this study.