PD2-01 BURIED PENIS IN ADULTS – PRESENTATION, SURGICAL TECHNIQUES AND OUTCOME

Abstract

You have accessJournal of UrologySexual Function/Dysfunction/Andrology: Penis/Testis/Urethra: Benign Disease1 Apr 2015PD2-01 BURIED PENIS IN ADULTS – PRESENTATION, SURGICAL TECHNIQUES AND OUTCOME Tet Yap, Matus Chocolaty, Raheem Amr, Giulio Garaffa, Nim Christopher, Suks Minhas, and Ralph David Tet YapTet Yap More articles by this author , Matus ChocolatyMatus Chocolaty More articles by this author , Raheem AmrRaheem Amr More articles by this author , Giulio GaraffaGiulio Garaffa More articles by this author , Nim ChristopherNim Christopher More articles by this author , Suks MinhasSuks Minhas More articles by this author , and Ralph DavidRalph David More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.184AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Buried penis in adult men is a rare, usually acquired condition in which the penis is partially or completely hidden below the surface of the prepubic skin and/or scrotum, although the corporeal length of penile shaft is normal. The aim of the study was to evaluate the presentation, treatment options and results of surgical treatment of buried penis in adults, a previously under reported entity. METHODS A total of 54 patients (mean age 55.6 ± 19.6 years) underwent surgery for buried penis between 2007 and 2013 were included in this retrospective study. The aetiology of buried penis was multifactorial, the most common factors were obesity (79.6 %) and/or previous treatment of penile cancer (16.6 %) or circumcision (31.5 %). The presentation of buried penis included voiding difficulties in 24(44.4%), sexual dysfunction in 16 (29.6 %), recurrent balanoposthitis or balanitis xerotica obliterans in 12 (22.2 %) and aesthetic concerns in 16 (29.6 %) patients. Surgical techniques included suprapubic fat pad excision, abdominoplasty, apronectomy, split/fullthickness skin graft, division of the suspensory ligament, scrotoplasty and excision of foreskin. RESULTS Mean hospital stay was 5.1 days (range 1 - 14). 46 patients (85.2 %) were satisfied with the results of the surgery. 4 patients (7.4 %) underwent further additional corrective surgery: in 2 patients the suspensory ligament division and scrotoplasty, in 1 patient scrotoplasty and in 1 patient repeated abdominoplasty. The following complications were recorded in 8 (14.8[S1] %) patients: wound infection in 4 (7.4%) patients, lost of skin graft in 2 (3.7%) patients, hematoma and deep venous thrombosis in 1 patient. CONCLUSIONS Surgical treatment of the buried penis in adults is a complex procedure with a high satisfactory rate. The overall morbidity of the procedure was low and less than 10% of patients required further surgery to achieve optimum results. However, the complexity of the procedures would mean that performing these in specialised centres is recommended. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e40 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Tet Yap More articles by this author Matus Chocolaty More articles by this author Raheem Amr More articles by this author Giulio Garaffa More articles by this author Nim Christopher More articles by this author Suks Minhas More articles by this author Ralph David More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...