Complications of a buried penis in an extremely obese patient

Mattsson, B.; Vollmer, Christian; Schwab, Christoph; Padevit, Christian; Horton, D. Kevin; John, Hubert; Horstmann, Marcus

doi:10.1111/j.1439-0272.2011.01194.x

Cited by 9 publications

(6 citation statements)

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“…Even though obesity is mentioned as a major contributor, no definitions of body mass index (BMI) cutoffs were found in a search of Medline. According to Mattson et al's experience with obese patients, grade I and II obesity (defined by the World Health Organization [WHO] as a BMI >30-35 and a BMI >35-40, respectively) were not associated with severity or incidence of the buried penis, but in cases of extreme or morbid obesity (WHO grade III, BMI >40), it becomes common and the incidence increases [ 15 ]. In our series, there were no extremely or morbidly obesity patients who required simultaneous removal of excess suprapubic fat such as lipectomy or liposuction.…”

Section: Discussionmentioning

confidence: 99%

Simple Anchoring of the Penopubic Skin to the Prepubic Deep Fascia in Surgical Correction of Buried Penis

et al. 2011

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PurposeThe aim of this study was to categorize concealed penis and buried penis by preoperative physical examination including the manual prepubic compression test and to describe a simple surgical technique to correct buried penis that was based on surgical experience and comprehension of the anatomical components.Materials and MethodsFrom March 2007 to November 2010, 17 patients were diagnosed with buried penis after differentiation of this condition from concealed penis. The described surgical technique consisted of a minimal incision and simple fixation of the penile shaft skin and superficial fascia to the prepubic deep fascia, without degloving the penile skin.ResultsThe mean age of the patients was 10.2 years, ranging from 8 years to 15 years. The median follow-up was 19 months (range, 5 to 49 months). The mean penile lengths were 1.8 cm (range, 1.1 to 2.5 cm) preoperatively and 4.5 cm (range, 3.3 to 5.8 cm) postoperatively. The median difference between preoperative and postoperative penile lengths was 2.7 cm (range, 2.1 to 3.9 cm). There were no serious intra- or postoperative complications.ConclusionsWith the simple anchoring of the penopubic skin to the prepubic deep fascia, we obtained successful subjective and objective outcomes without complications. We suggest that this is a promising surgical method for selected patients with buried penis.

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Section: Discussionmentioning

confidence: 99%

Simple Anchoring of the Penopubic Skin to the Prepubic Deep Fascia in Surgical Correction of Buried Penis

et al. 2011

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“…10 Keluhan yang sering muncul pada buried penis berupa penis yang terlihat kecil, kesulitan miksi, infeksi saluran kencing, kesulitan menjaga kebersihan alat kelamin, serta keluhan psikologis dari anak maupun orang tua. 11,12 Studi yang kami lakukan mayoritas pasien datang berobat dengan keluhan penis yang terlihat kecil (6 pasien), sedangkan keluhan lainnya berupa kesulitan miksi (1 pasien) dan infeksi saluran kencing (1 pasien). Infeksi terjadi akibat kondisi lembab sehingga menyebabkan maserasi dan memudahkan kolonisasi bakteri.…”

Section: Diskusiunclassified

Tata Laksana Buried Penis di RSUP Sanglah

Duarsa

Wiadi

Tirtayasa

et al. 2020

JBN

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Tujuan: Untuk mengetahui tata laksana Buried penis di RSUP Sanglah. Metode: Delapan sampel dengan buried penis yang menjalani operasi rekonstruksi di RSUP Sanglah dikumpulkan dari Januari sampai Desember 2018. Pengumpulan data dilakukan sebelum operasi sampai 3 bulan setelah operasi. Hasil: Delapan pasien yang termasuk dalam penelitian ini memiliki rentang usia dari 5 sampai 15 tahun. Mayoritas berat badan pasien berada diatas persentil 50. Panjang penis sebelum operasi memiliki rentang 0,0-3,0 cm. Dilakukan degloving penis, eksisi lapisan dartos yang inelastis dan penutupan kulit dengan skin flap. Panjang penis setelah operasi meningkat menjadi 4,3-13,5 cm dimana merupakan ukuran penis normal sesuai usia pasien. Pemeriksaan histologi menunjukkan kolagen yang tebal seperti pasien hipospadia dan berbeda dengan pasien normal. Simpulan: Buried penis merupakan suatu abnormalitas penis kongenital. Terdapat pendekatan dan teknik operasi yang bervariasi sesuai kondisi pasien dan keahlian masing-masing dokter bedah. Ukuran penis meningkat setelah rekonstruksi.

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“…Concealed penis (2), webbed penis (3) and inconspicuous penis (4) are sometimes used as synonyms (5). In most cases adult acquired buried penis is secondary to morbid obesity (6), diffuse lymphedema and skin contracture due to scarring of degenerative conditions like…”

Section: Introductionmentioning

confidence: 99%

Subjective and objective results in surgical correction of adult acquired buried penis: A single-centre observational study

Cocci

Cito²,

Falcone³

et al. 2019

Arch Ital Urol Androl

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Objective: The purpose of this study was to provide a detailed analysis of surgical and functional outcomes after correction of acquired buried penis in the adult. Materials and Methods: From 2006 to 2016, we retrospectively reviewed 47 patients undergoing surgical treatment for the correction of buried penis. Functional and surgical outcomes, as well as patients’ satisfaction were the main endpoints. Results: The most common complains at presentation were recurrent uro-genital infections, sexual dysfunction, voiding dysfunction and Lichen Sclerosus (LS). Surgical management steps included: circumcision (27.66%), scrotoplasty (19.14%), V-Y skin plasty (4.25%), split thickness skin graft (STSG) 12.76%, full thickness skin graft (FTSG) 36.17%, suprapubic fat pad excision (57.44%), abdominoplasty (25.53%), division of the suspensory ligament (36.17%). Postoperative complications were recorded in 15% of patients. Vaginal penetration and erectile function ended up being more effective in 97.87% (46/47) and 42.55% (20/47) of patients. Improvement in penile erogenous sensation was in 6.38% (3/47). Aesthetic appearance of genitalia fully satisfied 36.17% of patients (17/47). Overall patients’ satisfaction rate resulted 76.59% (36/47). Conclusion: Management of adult acquired buried penis still remains a challenging task to achieve, however excellent cosmetic results can be obtained by surgical reconstruction.

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Complications of a buried penis in an extremely obese patient

Cited by 9 publications

References 10 publications

Simple Anchoring of the Penopubic Skin to the Prepubic Deep Fascia in Surgical Correction of Buried Penis

Simple Anchoring of the Penopubic Skin to the Prepubic Deep Fascia in Surgical Correction of Buried Penis

Tata Laksana Buried Penis di RSUP Sanglah

Subjective and objective results in surgical correction of adult acquired buried penis: A single-centre observational study

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