Abstract
ABSTRACTObesity is increasing in prevalence worldwide and an increasingly commonly encountered condition is adult acquired buried penis (AABP). We review the current management of AABP and relevant literature. Management of AABP requires a combination of genitourinary reconstructive techniques and plastic surgery techniques that are unique to this condition. We offer our experience and tips and tricks for the treatment of AABP.
Highlights
Obesity is increasing in prevalence worldwide, with rates nearly tripling from 1975-2016 [1]
The genitourinary system is not spared, as obesity is associated with adult acquired buried penis [3]
Adult acquired buried penis is associated with concomitant urethral strictures, with rates as high as 31-47% [5, 6], likely due to associated lichen sclerosis and chronic inflammation
Summary
Obesity is increasing in prevalence worldwide, with rates nearly tripling from 1975-2016 [1]. Adult acquired buried penis is associated with concomitant urethral strictures, with rates as high as 31-47% [5, 6], likely due to associated lichen sclerosis and chronic inflammation. These can complicate repair and often demand their own attention either prior to or coincident with buried penis repair. [5] recently proposed a classification system to stratify buried penis repair by complexity of repair This includes the following categories: Category I – penile unburying with local skin flap; Category II – use of skin graft; Category III – scrotal surgery; Category IV – escutcheonectomy; and Category V – abdominal panniculectomy. We review the current literature on adult acquired buried penis repair as well as offer several tips and tricks we use in our practice
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