MP25-07 SURGICAL MANAGEMENT OF ADULT ACQUIRED BURIED PENIS: IMPACT ON URINARY AND SEXUAL QUALITY OF LIFE OUTCOMES

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You have accessJournal of UrologyTrauma/Reconstruction/Diversion: External Genitalia Reconstruction and Urotrauma (including transgender surgery) II1 Apr 2018MP25-07 SURGICAL MANAGEMENT OF ADULT ACQUIRED BURIED PENIS: IMPACT ON URINARY AND SEXUAL QUALITY OF LIFE OUTCOMES Katherine Theisen, Thomas Fuller, and Paul Rusilko Katherine TheisenKatherine Theisen More articles by this author , Thomas FullerThomas Fuller More articles by this author , and Paul RusilkoPaul Rusilko More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2018.02.844AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Adult acquired buried penis (AABP) is a morbid condition and affected patients have poor sexual and urinary function, and resultant poor quality of life. Studies to date have largely focused on objective perioperative outcomes following surgical intervention, however, few have evaluated changes in patient-reported quality of life. We aimed to assess the changes in patient-reported quality of life following surgical treatment of adult acquired buried penis. METHODS There are no validated quality of life questionnaires dedicated to this condition so we utilized the Expanded prostate cancer index composite (or EPIC questionnaire). EPIC is a validated questionnaire for patients undergoing treatment of localized prostate cancer. It has dedicated urinary and sexual domains. Each question was scored on a scale of 1 to 5 with higher scores indicating better quality of life. Postoperative scores were compared to preoperative scores. Preoperative scores were obtained in a retrospective fashion. RESULTS Sixteen patients completed pre and postoperative questionnaires and mean follow up was 12.3 months. There was a significant improvement in 10 of the 12 urinary domain questions (Figure 1) and the mean total urinary score significantly increased from 31 to 53 postoperatively (p< 0.05). There was also a significant improvement in 10 of the 13 sexual domain questions Figure 2) and the mean total sexual domain score also significantly increased from 28 to 50 postoperatively (p<0.05). Overall, 87% of patients reported a significant improvement in overall urinary and sexual quality of life. No patient reported a decrease in their overall quality of life. CONCLUSIONS Surgical treatment of AABP results in improved urinary and sexual quality of life as assessed by the EPIC questionnaire. Further studies with dedicated questionnaires are needed. © 2018FiguresReferencesRelatedDetails Volume 199Issue 4SApril 2018Page: e328-e329 Advertisement Copyright & Permissions© 2018MetricsAuthor Information Katherine Theisen More articles by this author Thomas Fuller More articles by this author Paul Rusilko More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...