Boemers and De Jong evaluated the cosmetic outcome of a patient with buried penis following surgical correction. The authors are from Wilhelmina Children's Hospital in Utrecht, The Netherlands.
Parameters used to determine cosmetic outcome following surgery:
(1) degree of penile projection in relation to the mons pubis
(2) skin coverage
(3) degree of scarring
An excellent outcome was described (page 551) as one with:
(1) distinct projection of he penis from the mons pubis
(2) excellent skin coverage
(3) no severe scarring
One possible way (not given in the paper) to use this information is the following score:
|
Parameter |
Finding |
Points |
|
degree of penile projection |
distinct projection beyond the mons pubis |
2 |
|
|
some degree of projection |
1 |
|
|
no projection |
0 |
|
skin coverage |
excellent |
2 |
|
|
adequate |
1 |
|
|
poor |
0 |
|
scarring |
none |
2 |
|
|
minimal to mild |
1 |
|
|
moderate to severe |
0 |
total score =
= SUM(points for all 3 parameters) - (1 if sum of all 3 parameters if from 2 to 4 and there is at least one parameter scored at 0 points)
|
Total Score |
Possible Combinations |
|
6 |
2 + 2 + 2 |
|
5 |
2 + 2 + 1 |
|
4 |
2 + 2 + 0 |
|
4 |
2 + 1 + 1 |
|
3 |
2 + 1 + 0 |
|
3 |
1 + 1 + 1 |
|
2 |
2 + 0 + 0 |
|
2 |
1 + 1 + 0 |
|
1 |
1 + 0 + 0 |
|
0 |
0 + 0 + 0 |
|
Total Score |
Outcome |
|
6 |
excellent |
|
5 |
very good |
|
4 |
good |
|
3 |
fair |
|
2 |
suboptimal |
|
1 |
poor |
|
<= 0 |
very poor |
Specialty: Urology
