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Erschienen in: Current Sexual Health Reports 4/2017

26.10.2017 | Male and Female Surgical Interventions (A Burnett and C Carson, Section Editors)

Surgical Management of the Concealed Penis in Adults

verfasst von: Matthew R. Danzig, Lisa M. Parrillo, Ty T. Higuchi

Erschienen in: Current Sexual Health Reports | Ausgabe 4/2017

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Abstract

Purpose of Review

The concealed penis in adults is a relatively rare indication for surgical treatment; however, it represents a complex disease spectrum requiring thoughtful, systematic management. Here, we review the fundamental principles underlying a successful repair and highlight recent surgical techniques and pathways.

Recent Findings

In evaluated patients with adult concealed penis, clinicians should be aware of the association of this condition with urethral stricture, carcinoma of the penis, and angiosarcoma in the setting of lymphedema. It may not be possible to complete this evaluation prior to operative exploration, although adjunctive studies such as MRI can be helpful. In addition, surgical reconstruction may involve urologist and plastic surgeons. All successful repairs involve the key steps of excising scar tissue and abnormal skin, freeing abnormal attachments, reducing suprapubic adiposity if indicated, dividing the suspensory ligament if additional release is needed, tacking superficial and deep tissues together to maintain sharp penopubic and penoscrotal angles, and achieving adequate skin coverage with local tissue if possible and skin grafting if necessary. Adjunctive measures such as fibrin glue and wound VAC application can improve the success of skin grafts. Patients can experience significant benefit in many domains following repair including hygiene, sexual function, and well-being.

Summary

Surgical treatment of the adult concealed penis can be highly challenging and complex. However, excellent outcomes can be obtained through a careful and thorough workup, the use of a systematic surgical approach with respect for regional anatomy and careful attention to key principles, and multi-disciplinary collaboration.
Literatur
1.
Zurück zum Zitat Wein AJ, Kavoussi LR, Novick AC, et al. Campbell-Walsh urology, 11e. Philadelphia: W B Saunders Company; 2015. Wein AJ, Kavoussi LR, Novick AC, et al. Campbell-Walsh urology, 11e. Philadelphia: W B Saunders Company; 2015.
2.
Zurück zum Zitat Shenoy MU, Srinivasan J, Sully L, Rance CH. Buried penis: surgical correction using liposuction and realignment of skin. BJU Int. 2000;86(4):527–30.PubMedCrossRef Shenoy MU, Srinivasan J, Sully L, Rance CH. Buried penis: surgical correction using liposuction and realignment of skin. BJU Int. 2000;86(4):527–30.PubMedCrossRef
3.
Zurück zum Zitat Donatucci CF, Ritter EF. Management of the buried penis in adults. J Urol. 1998;159(2):420–4.PubMedCrossRef Donatucci CF, Ritter EF. Management of the buried penis in adults. J Urol. 1998;159(2):420–4.PubMedCrossRef
4.
Zurück zum Zitat Higuchi TT, Yamaguchi Y, Wood HM, Angermeier KW. Evaluation and treatment of adult concealed penis. Curr Urol Rep. 2012;13(4):277–84.PubMedCrossRef Higuchi TT, Yamaguchi Y, Wood HM, Angermeier KW. Evaluation and treatment of adult concealed penis. Curr Urol Rep. 2012;13(4):277–84.PubMedCrossRef
5.
Zurück zum Zitat • Tausch TJ, Tachibana I, Siegel J, Hoxworth R, Scott J, Morey AF. Classification system for individualized treatment of adult buried penis syndrome. Plast Reconstr Surg. 2016;138(3):703–11. A large contemporary surgical series in which several innovative techniques were utilized to reduce the need for grafting to provide adequate skin coverage PubMedCrossRef • Tausch TJ, Tachibana I, Siegel J, Hoxworth R, Scott J, Morey AF. Classification system for individualized treatment of adult buried penis syndrome. Plast Reconstr Surg. 2016;138(3):703–11. A large contemporary surgical series in which several innovative techniques were utilized to reduce the need for grafting to provide adequate skin coverage PubMedCrossRef
6.
Zurück zum Zitat • Voznesensky MA, Lawrence WT, Keith JN, Erickson BA. Patient-reported social, psychological, and urologic outcomes after adult buried penis repair. Urology. 2017;103:240–4. One of the several contemporary studies which evaluated patients’ functionality and quality of life following surgical repair PubMedCrossRef • Voznesensky MA, Lawrence WT, Keith JN, Erickson BA. Patient-reported social, psychological, and urologic outcomes after adult buried penis repair. Urology. 2017;103:240–4. One of the several contemporary studies which evaluated patients’ functionality and quality of life following surgical repair PubMedCrossRef
7.
Zurück zum Zitat • Rybak J, Larsen S, Yu M, Levine LA. Single center outcomes after reconstructive surgical correction of adult acquired buried penis: measurements of erectile function, depression, and quality of life. J Sex Med. 2014;11(4):1086–91. One of the several contemporary studies which evaluated patients’ functionality and quality of life following surgical repair PubMedCrossRef • Rybak J, Larsen S, Yu M, Levine LA. Single center outcomes after reconstructive surgical correction of adult acquired buried penis: measurements of erectile function, depression, and quality of life. J Sex Med. 2014;11(4):1086–91. One of the several contemporary studies which evaluated patients’ functionality and quality of life following surgical repair PubMedCrossRef
8.
9.
Zurück zum Zitat Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–81.PubMedPubMedCentralCrossRef Ng M, Fleming T, Robinson M, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the Global Burden of Disease Study 2013. Lancet. 2014;384(9945):766–81.PubMedPubMedCentralCrossRef
10.
Zurück zum Zitat • Hughes DB, Perez E, Garcia RM, Aragón OR, Erdmann D. Sexual and overall quality of life improvements after surgical correction of “buried penis”. Ann Plast Surg. 2016;76(5):532–5. One of the several contemporary studies which evaluated patients’ functionality and quality of life following surgical repair PubMedCrossRef • Hughes DB, Perez E, Garcia RM, Aragón OR, Erdmann D. Sexual and overall quality of life improvements after surgical correction of “buried penis”. Ann Plast Surg. 2016;76(5):532–5. One of the several contemporary studies which evaluated patients’ functionality and quality of life following surgical repair PubMedCrossRef
11.
Zurück zum Zitat Chopra CW, Ayoub NT, Bromfield C, Witt PD. Surgical management of acquired (cicatricial) buried penis in an adult patient. Ann Plast Surg. 2002;49(5):545–9.PubMedCrossRef Chopra CW, Ayoub NT, Bromfield C, Witt PD. Surgical management of acquired (cicatricial) buried penis in an adult patient. Ann Plast Surg. 2002;49(5):545–9.PubMedCrossRef
12.
Zurück zum Zitat • Hampson LA, Muncey W, Chung PH, et al. Surgical and functional outcomes following buried penis repair with limited panniculectomy and split-thickness skin graft. Urology. 2017; https://doi.org/10.1016/j.urology.2017.07.02. One of the several contemporary studies which evaluated patients’ functionality and quality of life following surgical repair • Hampson LA, Muncey W, Chung PH, et al. Surgical and functional outcomes following buried penis repair with limited panniculectomy and split-thickness skin graft. Urology. 2017; https://​doi.​org/​10.​1016/​j.​urology.​2017.​07.​02. One of the several contemporary studies which evaluated patients’ functionality and quality of life following surgical repair
13.
Zurück zum Zitat Mattsson B, Vollmer C, Schwab C, et al. Complications of a buried penis in an extremely obese patient. Andrologia. 2012;44(Suppl 1):826–8.PubMedCrossRef Mattsson B, Vollmer C, Schwab C, et al. Complications of a buried penis in an extremely obese patient. Andrologia. 2012;44(Suppl 1):826–8.PubMedCrossRef
14.
Zurück zum Zitat •• Abdulla A, Daya D, Pinthus J, Davies T. Buried penis: an unrecognized risk factor in the development of invasive penile cancer. Can Urol Assoc J. 2012;6(5):E199–202. Highlights the issue of concealed penis as both a potential risk factor for and an impediment to the facile diagnosis of penile cancer PubMedPubMedCentral •• Abdulla A, Daya D, Pinthus J, Davies T. Buried penis: an unrecognized risk factor in the development of invasive penile cancer. Can Urol Assoc J. 2012;6(5):E199–202. Highlights the issue of concealed penis as both a potential risk factor for and an impediment to the facile diagnosis of penile cancer PubMedPubMedCentral
15.
Zurück zum Zitat Doughty D, Junkin J, Kurz P, et al. Incontinence-associated dermatitis: consensus statements, evidence-based guidelines for prevention and treatment, and current challenges. J Wound Ostomy Continence Nurs. 2012;39(3):303–15.PubMedCrossRef Doughty D, Junkin J, Kurz P, et al. Incontinence-associated dermatitis: consensus statements, evidence-based guidelines for prevention and treatment, and current challenges. J Wound Ostomy Continence Nurs. 2012;39(3):303–15.PubMedCrossRef
16.
Zurück zum Zitat Gray M, Beeckman D, Bliss DZ, et al. Incontinence-associated dermatitis: a comprehensive review and update. J Wound Ostomy Continence Nurs. 2012;39(1):61–74.PubMedCrossRef Gray M, Beeckman D, Bliss DZ, et al. Incontinence-associated dermatitis: a comprehensive review and update. J Wound Ostomy Continence Nurs. 2012;39(1):61–74.PubMedCrossRef
17.
Zurück zum Zitat Warren AG, Peled ZM, Borud LJ. Surgical correction of a buried penis focusing on the mons as an anatomic unit. J Plast Reconstr Aesthet Surg. 2009;62(3):388–92.PubMedCrossRef Warren AG, Peled ZM, Borud LJ. Surgical correction of a buried penis focusing on the mons as an anatomic unit. J Plast Reconstr Aesthet Surg. 2009;62(3):388–92.PubMedCrossRef
18.
Zurück zum Zitat Kulkarni S, Barbagli G, Kirpekar D, Mirri F, Lazzeri M. Lichen sclerosus of the male genitalia and urethra: surgical options and results in a multicenter international experience with 215 patients. Eur Urol. 2009;55(4):945–54.PubMedCrossRef Kulkarni S, Barbagli G, Kirpekar D, Mirri F, Lazzeri M. Lichen sclerosus of the male genitalia and urethra: surgical options and results in a multicenter international experience with 215 patients. Eur Urol. 2009;55(4):945–54.PubMedCrossRef
19.
Zurück zum Zitat Pestana IA, Greenfield JM, Walsh M, Donatucci CF, Erdmann D. Management of “buried” penis in adulthood: an overview. Plast Reconstr Surg. 2009;124(4):1186–95.PubMedCrossRef Pestana IA, Greenfield JM, Walsh M, Donatucci CF, Erdmann D. Management of “buried” penis in adulthood: an overview. Plast Reconstr Surg. 2009;124(4):1186–95.PubMedCrossRef
20.
Zurück zum Zitat •• Liaw A, Rickborn L, Mcclung C. Incidence of urethral stricture in patients with adult acquired buried penis. Adv Urol. 2017;2017:7056173. Identifies urethral stricture as a potential complication of concealed penis and a key target in the preoperative/intra-operative workup PubMedPubMedCentralCrossRef •• Liaw A, Rickborn L, Mcclung C. Incidence of urethral stricture in patients with adult acquired buried penis. Adv Urol. 2017;2017:7056173. Identifies urethral stricture as a potential complication of concealed penis and a key target in the preoperative/intra-operative workup PubMedPubMedCentralCrossRef
21.
Zurück zum Zitat Westerman ME, Tausch TJ, Zhao LC, et al. Ventral slit scrotal flap: a new outpatient surgical option for reconstruction of adult buried penis syndrome. Urology. 2015;85(6):1501–4.PubMedCrossRef Westerman ME, Tausch TJ, Zhao LC, et al. Ventral slit scrotal flap: a new outpatient surgical option for reconstruction of adult buried penis syndrome. Urology. 2015;85(6):1501–4.PubMedCrossRef
22.
Zurück zum Zitat Barbagli G, Palminteri E, Balò S, et al. Lichen sclerosus of the male genitalia and urethral stricture diseases. Urol Int. 2004;73(1):1–5.PubMedCrossRef Barbagli G, Palminteri E, Balò S, et al. Lichen sclerosus of the male genitalia and urethral stricture diseases. Urol Int. 2004;73(1):1–5.PubMedCrossRef
23.
Zurück zum Zitat Lumen N, Hoebeke P, Willemsen P, De Troyer B, Pieters R, Oosterlinck W. Etiology of urethral stricture disease in the 21st century. J Urol. 2009;182(3):983–7.PubMedCrossRef Lumen N, Hoebeke P, Willemsen P, De Troyer B, Pieters R, Oosterlinck W. Etiology of urethral stricture disease in the 21st century. J Urol. 2009;182(3):983–7.PubMedCrossRef
24.
Zurück zum Zitat Liu JS, Walker K, Stein D, et al. Lichen sclerosus and isolated bulbar urethral stricture disease. J Urol. 2014;192(3):775–9.PubMedCrossRef Liu JS, Walker K, Stein D, et al. Lichen sclerosus and isolated bulbar urethral stricture disease. J Urol. 2014;192(3):775–9.PubMedCrossRef
25.
Zurück zum Zitat Dillner J, Von Krogh G, Horenblas S, Meijer CJ. Etiology of squamous cell carcinoma of the penis. Scand J Urol Nephrol Suppl. 2000;205:189–93.CrossRef Dillner J, Von Krogh G, Horenblas S, Meijer CJ. Etiology of squamous cell carcinoma of the penis. Scand J Urol Nephrol Suppl. 2000;205:189–93.CrossRef
26.
Zurück zum Zitat Pugliese JM, Morey AF, Peterson AC. Lichen sclerosus: review of the literature and current recommendations for management. J Urol. 2007;178(6):2268–76.PubMedCrossRef Pugliese JM, Morey AF, Peterson AC. Lichen sclerosus: review of the literature and current recommendations for management. J Urol. 2007;178(6):2268–76.PubMedCrossRef
27.
Zurück zum Zitat Tsen HF, Morgenstern H, Mack T, Peters RK. Risk factors for penile cancer: results of a population-based case-control study in Los Angeles County (United States). Cancer Causes Control. 2001;12(3):267–77.PubMedCrossRef Tsen HF, Morgenstern H, Mack T, Peters RK. Risk factors for penile cancer: results of a population-based case-control study in Los Angeles County (United States). Cancer Causes Control. 2001;12(3):267–77.PubMedCrossRef
28.
Zurück zum Zitat •• Manwaring J, Vourganti S, Nikolavsky D, Valente AL, Byler T. Pannus is the new prepuce? Penile cancer in a buried phallus. Case Rep Urol. 2015;2015:403545. Highlights the issue of concealed penis as both a potential risk factor for and an impediment to the facile diagnosis of penile cancer PubMedPubMedCentral •• Manwaring J, Vourganti S, Nikolavsky D, Valente AL, Byler T. Pannus is the new prepuce? Penile cancer in a buried phallus. Case Rep Urol. 2015;2015:403545. Highlights the issue of concealed penis as both a potential risk factor for and an impediment to the facile diagnosis of penile cancer PubMedPubMedCentral
29.
Zurück zum Zitat Radhakrishnan J, Razzaq A, Manickam K. Concealed penis. Pediatr Surg Int. 2002;18(8):668–72.PubMed Radhakrishnan J, Razzaq A, Manickam K. Concealed penis. Pediatr Surg Int. 2002;18(8):668–72.PubMed
30.
Zurück zum Zitat Alter GJ, Ehrlich RM. A new technique for correction of the hidden penis in children and adults. J Urol. 1999;161(2):455–9.PubMedCrossRef Alter GJ, Ehrlich RM. A new technique for correction of the hidden penis in children and adults. J Urol. 1999;161(2):455–9.PubMedCrossRef
31.
Zurück zum Zitat Boonjindasup A, Pinsky M, Stewart C, et al. Management of adult concealed penis using a meshed, split-thickness skin graft. Can Urol Assoc J. 2016;10(11–12):E407–11.PubMedPubMedCentralCrossRef Boonjindasup A, Pinsky M, Stewart C, et al. Management of adult concealed penis using a meshed, split-thickness skin graft. Can Urol Assoc J. 2016;10(11–12):E407–11.PubMedPubMedCentralCrossRef
32.
Zurück zum Zitat Tang SH, Kamat D, Santucci RA. Modern management of adult-acquired buried penis. Urology. 2008;72(1):124–7.PubMedCrossRef Tang SH, Kamat D, Santucci RA. Modern management of adult-acquired buried penis. Urology. 2008;72(1):124–7.PubMedCrossRef
33.
Zurück zum Zitat Halperin TJ, Slavin SA, Olumi AF, Borud LJ. Surgical management of scrotal lymphedema using local flaps. Ann Plast Surg. 2007;59(1):67–72.PubMedCrossRef Halperin TJ, Slavin SA, Olumi AF, Borud LJ. Surgical management of scrotal lymphedema using local flaps. Ann Plast Surg. 2007;59(1):67–72.PubMedCrossRef
34.
Zurück zum Zitat Szuba A, Rockson SG. Lymphedema: classification, diagnosis and therapy. Vasc Med. 1998;3(2):145–56.PubMedCrossRef Szuba A, Rockson SG. Lymphedema: classification, diagnosis and therapy. Vasc Med. 1998;3(2):145–56.PubMedCrossRef
35.
Zurück zum Zitat Garaffa G, Christopher N, Ralph DJ. The management of genital lymphoedema. BJU Int. 2008;102(4):480–4.PubMedCrossRef Garaffa G, Christopher N, Ralph DJ. The management of genital lymphoedema. BJU Int. 2008;102(4):480–4.PubMedCrossRef
36.
Zurück zum Zitat Champaneria MC, Workman A, Kao H, Ray AO, Hill M. Reconstruction of massive localised lymphoedema of the scrotum with a novel fasciocutaneous flap: a rare case presentation and a review of the literature. J Plast Reconstr Aesthet Surg. 2013;66(2):281–6.PubMedCrossRef Champaneria MC, Workman A, Kao H, Ray AO, Hill M. Reconstruction of massive localised lymphoedema of the scrotum with a novel fasciocutaneous flap: a rare case presentation and a review of the literature. J Plast Reconstr Aesthet Surg. 2013;66(2):281–6.PubMedCrossRef
37.
Zurück zum Zitat Chopra K, Tadisina KK, Brewer M, Holton LH, Banda AK, Singh DP. Massive localized lymphedema revisited: a quickly rising complication of the obesity epidemic. Ann Plast Surg. 2015;74(1):126–32.PubMedCrossRef Chopra K, Tadisina KK, Brewer M, Holton LH, Banda AK, Singh DP. Massive localized lymphedema revisited: a quickly rising complication of the obesity epidemic. Ann Plast Surg. 2015;74(1):126–32.PubMedCrossRef
38.
Zurück zum Zitat Machol JA, Langenstroer P, Sanger JR. Surgical reduction of scrotal massive localized lymphedema (MLL) in obesity. J Plast Reconstr Aesthet Surg. 2014;67(12):1719–25.PubMedCrossRef Machol JA, Langenstroer P, Sanger JR. Surgical reduction of scrotal massive localized lymphedema (MLL) in obesity. J Plast Reconstr Aesthet Surg. 2014;67(12):1719–25.PubMedCrossRef
39.
Zurück zum Zitat Vaught SK, Litvak AS, Mcroberts JW. The surgical management of scrotal and penile lymphedema. J Urol. 1975;113(2):204–6.PubMedCrossRef Vaught SK, Litvak AS, Mcroberts JW. The surgical management of scrotal and penile lymphedema. J Urol. 1975;113(2):204–6.PubMedCrossRef
40.
Zurück zum Zitat Kumar P, Navaneethan GP. Resection of scrotal lymphedema. Plast Reconstr Surg. 2005;116(2):24e–7e.PubMedCrossRef Kumar P, Navaneethan GP. Resection of scrotal lymphedema. Plast Reconstr Surg. 2005;116(2):24e–7e.PubMedCrossRef
41.
Zurück zum Zitat Morey AF, Meng MV, Mcaninch JW. Skin graft reconstruction of chronic genital lymphedema. Urology. 1997;50(3):423–6.PubMedCrossRef Morey AF, Meng MV, Mcaninch JW. Skin graft reconstruction of chronic genital lymphedema. Urology. 1997;50(3):423–6.PubMedCrossRef
42.
Zurück zum Zitat Shon W, Ida CM, Boland-froemming JM, Rose PS, Folpe A. Cutaneous angiosarcoma arising in massive localized lymphedema of the morbidly obese: a report of five cases and review of the literature. J Cutan Pathol. 2011;38(7):560–4.PubMedCrossRef Shon W, Ida CM, Boland-froemming JM, Rose PS, Folpe A. Cutaneous angiosarcoma arising in massive localized lymphedema of the morbidly obese: a report of five cases and review of the literature. J Cutan Pathol. 2011;38(7):560–4.PubMedCrossRef
43.
44.
Zurück zum Zitat Ghanem H, Elkhaiat YI, Motawi AT, Abdelrahman IF. Infrapubic liposuction for penile length augmentation in patients with infrapubic adiposities. Aesthet Plast Surg. 2017;41(2):441–7.CrossRef Ghanem H, Elkhaiat YI, Motawi AT, Abdelrahman IF. Infrapubic liposuction for penile length augmentation in patients with infrapubic adiposities. Aesthet Plast Surg. 2017;41(2):441–7.CrossRef
45.
Zurück zum Zitat Shaeer OK. Shaeer’s technique: a minimally invasive procedure for monsplasty and revealing the concealed penis. Plast Reconstr Surg Glob Open. 2016;4(8):e1019.PubMedPubMedCentralCrossRef Shaeer OK. Shaeer’s technique: a minimally invasive procedure for monsplasty and revealing the concealed penis. Plast Reconstr Surg Glob Open. 2016;4(8):e1019.PubMedPubMedCentralCrossRef
46.
Zurück zum Zitat Zucchi A, Perovic S, Lazzeri M, et al. Iatrogenic trapped penis in adults: new, simple 2-stage repair. J Urol. 2010;183(3):1060–3.PubMedCrossRef Zucchi A, Perovic S, Lazzeri M, et al. Iatrogenic trapped penis in adults: new, simple 2-stage repair. J Urol. 2010;183(3):1060–3.PubMedCrossRef
47.
Zurück zum Zitat Thakar HJ, Dugi DD. Skin grafting of the penis. Urol Clin N Am. 2013;40(3):439–48.CrossRef Thakar HJ, Dugi DD. Skin grafting of the penis. Urol Clin N Am. 2013;40(3):439–48.CrossRef
48.
Zurück zum Zitat Alter GJ. Surgical techniques: surgery to correct hidden penis. J Sex Med. 2006;3(5):939–42.PubMedCrossRef Alter GJ. Surgical techniques: surgery to correct hidden penis. J Sex Med. 2006;3(5):939–42.PubMedCrossRef
49.
Zurück zum Zitat Castañares S, Belt E. Surgical reconstruction of the penis in skin losses, using scrotum skin. Br J Plast Surg. 1968;21(3):253–7.PubMedCrossRef Castañares S, Belt E. Surgical reconstruction of the penis in skin losses, using scrotum skin. Br J Plast Surg. 1968;21(3):253–7.PubMedCrossRef
50.
51.
Zurück zum Zitat Waris T, Astrand K, Hämäläinen H, Piironen J, Valtimo J, Järvilehto T. Regeneration of cold, warmth and heat-pain sensibility in human skin grafts. Br J Plast Surg. 1989;42(5):576–80.PubMedCrossRef Waris T, Astrand K, Hämäläinen H, Piironen J, Valtimo J, Järvilehto T. Regeneration of cold, warmth and heat-pain sensibility in human skin grafts. Br J Plast Surg. 1989;42(5):576–80.PubMedCrossRef
52.
Zurück zum Zitat Black PC, Friedrich JB, Engrav LH, Wessells H. Meshed unexpanded split-thickness skin grafting for reconstruction of penile skin loss. J Urol. 2004;172(3):976–9.PubMedCrossRef Black PC, Friedrich JB, Engrav LH, Wessells H. Meshed unexpanded split-thickness skin grafting for reconstruction of penile skin loss. J Urol. 2004;172(3):976–9.PubMedCrossRef
53.
Zurück zum Zitat Corps BV. The effect of graft thickness, donor site and graft bed on graft shrinkage in the hooded rat. Br J Plast Surg. 1969;22(2):125–33.PubMedCrossRef Corps BV. The effect of graft thickness, donor site and graft bed on graft shrinkage in the hooded rat. Br J Plast Surg. 1969;22(2):125–33.PubMedCrossRef
55.
Zurück zum Zitat • Alwaal A, Mcaninch JW, Harris CR, Breyer BN. Utilities of split-thickness skin grafting for male genital reconstruction. Urology. 2015;86(4):835–9. Reviews principles of skin graft application for genital reconstruction in a variety of settings PubMedPubMedCentralCrossRef • Alwaal A, Mcaninch JW, Harris CR, Breyer BN. Utilities of split-thickness skin grafting for male genital reconstruction. Urology. 2015;86(4):835–9. Reviews principles of skin graft application for genital reconstruction in a variety of settings PubMedPubMedCentralCrossRef
56.
Zurück zum Zitat Fuller TW, Theisen K, Rusilko P. Surgical management of adult acquired buried penis: escutcheonectomy, scrotectomy, and penile split-thickness skin graft. Urology. 2017;108:237–8.PubMedCrossRef Fuller TW, Theisen K, Rusilko P. Surgical management of adult acquired buried penis: escutcheonectomy, scrotectomy, and penile split-thickness skin graft. Urology. 2017;108:237–8.PubMedCrossRef
57.
Zurück zum Zitat Jabs AD, Wider TM, Debellis J, Hugo NE. The effect of fibrin glue on skin grafts in infected sites. Plast Reconstr Surg. 1992;89(2):268–71.PubMedCrossRef Jabs AD, Wider TM, Debellis J, Hugo NE. The effect of fibrin glue on skin grafts in infected sites. Plast Reconstr Surg. 1992;89(2):268–71.PubMedCrossRef
58.
Zurück zum Zitat Stefan H. Reconstruction of the penis after necrosis due to circumcision burn. Eur J Pediatr Surg. 1994;4(1):40–3.PubMedCrossRef Stefan H. Reconstruction of the penis after necrosis due to circumcision burn. Eur J Pediatr Surg. 1994;4(1):40–3.PubMedCrossRef
59.
Zurück zum Zitat Blackburn JH, Boemi L, Hall WW, et al. Negative-pressure dressings as a bolster for skin grafts. Ann Plast Surg. 1998;40(5):453–7.PubMedCrossRef Blackburn JH, Boemi L, Hall WW, et al. Negative-pressure dressings as a bolster for skin grafts. Ann Plast Surg. 1998;40(5):453–7.PubMedCrossRef
60.
Zurück zum Zitat Azzopardi EA, Boyce DE, Dickson WA, et al. Application of topical negative pressure (vacuum-assisted closure) to split-thickness skin grafts: a structured evidence-based review. Ann Plast Surg. 2013;70(1):23–9.PubMedCrossRef Azzopardi EA, Boyce DE, Dickson WA, et al. Application of topical negative pressure (vacuum-assisted closure) to split-thickness skin grafts: a structured evidence-based review. Ann Plast Surg. 2013;70(1):23–9.PubMedCrossRef
61.
Zurück zum Zitat Weinfeld AB, Kelley P, Yuksel E, et al. Circumferential negative-pressure dressing (VAC) to bolster skin grafts in the reconstruction of the penile shaft and scrotum. Ann Plast Surg. 2005;54(2):178–83.PubMedCrossRef Weinfeld AB, Kelley P, Yuksel E, et al. Circumferential negative-pressure dressing (VAC) to bolster skin grafts in the reconstruction of the penile shaft and scrotum. Ann Plast Surg. 2005;54(2):178–83.PubMedCrossRef
62.
Zurück zum Zitat Senchenkov A, Knoetgen J, Chrouser KL, Nehra A. Application of vacuum-assisted closure dressing in penile skin graft reconstruction. Urology. 2006;67(2):416–9.PubMedCrossRef Senchenkov A, Knoetgen J, Chrouser KL, Nehra A. Application of vacuum-assisted closure dressing in penile skin graft reconstruction. Urology. 2006;67(2):416–9.PubMedCrossRef
63.
Zurück zum Zitat Aboutaleb H. Reconstruction of an amputated glans penis with a buccal mucosal graft: case report of a novel technique. Korean J Urol. 2014;55(12):841–3.PubMedPubMedCentralCrossRef Aboutaleb H. Reconstruction of an amputated glans penis with a buccal mucosal graft: case report of a novel technique. Korean J Urol. 2014;55(12):841–3.PubMedPubMedCentralCrossRef
64.
Zurück zum Zitat Zhao YQ, Zhang J, Yu MS, Long DC. Functional restoration of penis with partial defect by scrotal skin flap. J Urol. 2009;182(5):2358–61.PubMedCrossRef Zhao YQ, Zhang J, Yu MS, Long DC. Functional restoration of penis with partial defect by scrotal skin flap. J Urol. 2009;182(5):2358–61.PubMedCrossRef
65.
Zurück zum Zitat Han DS, Jang H, Youn CS, Yuk SM. A new surgical technique for concealed penis using an advanced musculocutaneous scrotal flap. BMC Urol. 2015;15:54.PubMedPubMedCentralCrossRef Han DS, Jang H, Youn CS, Yuk SM. A new surgical technique for concealed penis using an advanced musculocutaneous scrotal flap. BMC Urol. 2015;15:54.PubMedPubMedCentralCrossRef
66.
Zurück zum Zitat Morey AF. Re: new technique for the treatment of buried penis in children. J Urol. 2016;196(5):1548.PubMedCrossRef Morey AF. Re: new technique for the treatment of buried penis in children. J Urol. 2016;196(5):1548.PubMedCrossRef
67.
Zurück zum Zitat Cavayero CT, Cooper MA, Harlin SL. Adult-acquired hidden penis in obese patients: a critical survey of the literature. J Am Osteopath Assoc. 2015;115(3):150–6.PubMedCrossRef Cavayero CT, Cooper MA, Harlin SL. Adult-acquired hidden penis in obese patients: a critical survey of the literature. J Am Osteopath Assoc. 2015;115(3):150–6.PubMedCrossRef
Metadaten
Titel
Surgical Management of the Concealed Penis in Adults
verfasst von
Matthew R. Danzig
Lisa M. Parrillo
Ty T. Higuchi
Publikationsdatum
26.10.2017
Verlag
Springer US
Erschienen in
Current Sexual Health Reports / Ausgabe 4/2017
Print ISSN: 1548-3584
Elektronische ISSN: 1548-3592
DOI
https://doi.org/10.1007/s11930-017-0138-x

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