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Current Urology Reports

Erschienen in:

01.03.2018 | Surgery (J Simhan, Section Editor)

Surgical Management of Adult Acquired Buried Penis

verfasst von: Thomas W. Fuller, Katherine M. Theisen, Anup Shah, Paul J. Rusilko

Erschienen in: Current Urology Reports | Ausgabe 3/2018

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Abstract

Purpose of Review

Adult acquired buried penis is a morbid condition characterized by complete entrapment of the phallus as a result of morbid obesity, post-surgical cicatrix formation, or primary genital lymphedema. Hygienic voiding is not possible and urinary dribbling is frequent with accompanying inflammation, skin breakdown, and infection from the chronic moisture. The end result is penile skin fibrosis resulting in permanent functional loss. Herein, we describe the etiology of adult acquired buried penis, advances in its surgical management, and quality of life outcomes with treatment.

Recent Findings

Adult acquired buried penis is increasing in incidence as morbid obesity becomes more prevalent. Frequently comorbid conditions affect treatment including those affecting wound healing such a diabetes mellitus. Functional and cosmetic surgical outcomes are being published in greater volume in recent years leading to more refined treatment algorithms. Patient quality of life is greatly improved by definitive surgical management.

Summary

Adult acquired buried penis is a morbid condition that is increasing in incidence as obesity becomes more commonplace. Surgical management often necessitates surgical lipectomy of the suprapubic fat pad, scrotoplasty, and penile split thickness skin graft. Substantial quality of life improvements have been consistently reported after surgical treatment.

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•• Voznesensky M, Lawrence W, Erickson B. Patient-reported social, psychological, and urologic outcomes after adult buried penis repair. Urology. 2017;103:240–4. There have been several studies on the post-operative psychosocial effects and quality of life improvements on patients after correction of buried penis, however this study specifically highlighted a few of the quality of life measures that we believe should be included as part of the standard post-operative assessment of our buried penis patient population. Particularly in this study, urinary function and sexual function are two important parameters that were added as a modification to the Post-Bariatric Surgery Quality of Life Questionnaire (PBSQoL), a survey that has been used by other groups in studying quality of life in these patients. These are two very important factors that should be considered in all patients pre- and post-operatively and we feel strongly that although there is not currently a standardized quality of life survey for the buried penis population, urinary and sexual function are imperative to include in the evaluation of these patients. CrossRefPubMed

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Titel: Surgical Management of Adult Acquired Buried Penis
verfasst von: Thomas W. Fuller
Katherine M. Theisen
Anup Shah
Paul J. Rusilko
Publikationsdatum: 01.03.2018
Verlag: Springer US
Erschienen in: Current Urology Reports / Ausgabe 3/2018
Print ISSN: 1527-2737
Elektronische ISSN: 1534-6285
DOI: https://doi.org/10.1007/s11934-018-0768-1

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