A Comparative Analysis of Heineke-Mikulicz and V-Y Scrotoplasty Techniques in the Surgical Correction of Congenital Penoscrotal Webbing

Objective:The penoscrotal web is a congenital cutaneous anomaly in which scrotal skin extends onto the ventral surface of the penis, potentially leading to deformity and, in adulthood, sexual dysfunction.This study aimed to compare the clinical outcomes of two commonly used techniques-Heineke-Mikulicz and V-Y scrotoplasty-in the surgical management of penoscrotal webbing.Materials and Methods: Between 2018 and 2022, data from 87 patients who underwent circumcision and penoscrotal web repair during circumcision examinations at our clinic, aged between 6 months and 6 years, were retrospectively analyzed.Two groups were formed: Group 1 consisted of 49 patients who underwent Heineke-Mikulicz scrotoplasty, and Group 2 consisted of 38 patients who underwent V-Y scrotoplasty.After the operation, the cases were evaluated in terms of scrotal or penile edema, hematoma, recurrent web, wound site contracture, and cosmetic results.Results: There was no statistically significant difference between the two groups in terms of age or body weight (p>0.05).When the two groups were compared in terms of mean operation time, statistical significance was observed (p<0.05).A statistically significant association was also found between the severity of the penoscrotal web and the choice of surgical technique (p<0.05).No significant differences were observed between the two groups regarding penile or scrotal edema and postoperative wound contracture (p>0.05).However, the comparison revealed a statistically significant difference in web recurrence between the two techniques (p<0.05). Conclusion:The findings suggest that Heineke-Mikulicz scrotoplasty is more effective in patients with grade 1 and 2 webbing, whereas V-Y scrotoplasty yields better results in grade 2 and 3 cases.