Abstract

Objectives: This study aims to evaluate the outcomes of patients who underwent penoscrotal webbing (PSW) repair using the Z-plasty and reverse (mirror-image) Z-plasty techniques.

Patients and methods: Between 2016 and 2020, a total of 81 patients identified with PSW during circumcision evaluation who underwent simultaneous circumcision and web repair were enrolled and divided into two groups based on the surgical approach performed: the Z-plasty group (Group 1) (45 males; mean age: 31.9 ± 15.8 months; range, 12 to 72 months) and the reverse Z-plasty group (Group 2) (36 males; mean age: 31.8 ± 17.8 months; range, 12 to 72 months). All patients were followed for 12 months and evaluated for scrotal or penile edema, hematoma, recurrent webbing, wound contracture, infection, flap necrosis, and cosmetic outcomes.

Results: The mean age, body weight, and operative time of Group 1 and Group 2 were 31.9 ± 15.8 months and 31.8 ± 17.8 months, 15.1 ± 3.9 kg and 14.8 ± 3.8 kg, and 49.4 ± 10.5 min and 49.1 ± 9.7 min, respectively. No statistically significant differences were observed between the groups regarding age, body weight, operative time, number of Z-plasties, or postoperative complications (p > 0.05).

Conclusion: It has been observed that Z-plasty and reverse Z-plasty techniques are effective in PSW repair and yield similar results.

Citation: Yalçın K, Kölükçü E. Comparison of Z-plasty techniques in the surgical management of congenital penoscrotal webbing: A cross-sectional study. Turkish J Ped Surg 2026;40(2):99-105. doi: 10.62114/JTAPS.2026.228.