Evaluation and management of adult acquired buried penis

Ho, Tammy Szu-Yu; Gelman, Joel

doi:10.21037/tau.2018.05.06

Cited by 36 publications

(27 citation statements)

References 22 publications

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“…It is a progressive and debilitating problem. Subsequently, the condition has been referred to as concealed, hidden, inconspicuous, trapped, and vanishing penis [1][2]5,6,8,16].…”

Section: Discussionmentioning

confidence: 99%

“…In addition to morbid obesity, some of the causes of buried penis are hidradenitis suppurativa, iatrogenic etiologies (such as the following circumcision or after aesthetic surgery including, but not limited to, penile and scrotal enlargement), infections (such as those resulting from bacterial and fungal organisms), lichen sclerosus, penoscrotal lymphedema (secondary to multiple etiologies including arteriobifemoral bypass grafting, inguinal lymphadenectomy for either penile cancer or melanoma, lymphatic filariasis--commonly known as elephantiasis--in men living in developing countries, and prostatectomy with accompanying pelvic lymph node dissection), and traumatic events. Wearing tight underwear can also potentially result in bacterial or fungal infection of the glans penis; the balanitis can promote the development of buried penis [1,3,5,6].…”

Section: Discussionmentioning

confidence: 99%

“…Buried penis can be a congenital condition or an acquired disorder; it occurs in children and adults who have either a normal or an elevated body mass index. There are multiple potential causes of acquired buried penis; however, obesity is the most common etiology in adult men [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Adult Acquired Buried Penis: A Hidden Problem in Obese Men

Cohen¹

2021

Cureus

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Buried penis is a condition where the penis is hidden by abdominal or suprapubic skin or fat. In adult men, buried penis occurs as an acquired condition most commonly caused by morbid obesity. The clinical characteristics of three obese men with adult acquired buried penis are described and the associated features of the buried penis are reviewed. In addition to morbid obesity, a buried penis can result from other etiologies, such as hidradenitis suppurativa, iatrogenic causes such as elective surgeries, infections, lichen sclerosus, penoscrotal lymphedema, and traumatic events. Lower urinary tract symptoms, such as voiding, and post-voiding problems are the most common presenting complaints; however, bacterial and fungal infections, phimosis, psychological issues, and sexual dysfunction, are also buried penis-related symptoms. The evaluation of a man with adult acquired buried penis begins with a detailed history for condition-related symptoms. Examination of the patient, both standing and supine with an attempt to demonstrate the penis using digital compression of the surrounding skin and fat, should be performed to determine the extent of the problem and whether comorbid conditions-such as infection and lichen sclerosus-are present. Both buried penis and lichen sclerosus can predispose to the development of penile squamous cell carcinoma; the diagnosis of this tumor can be delayed in men with adult acquired buried penis since an adequate penile examination is difficult or impossible. A multidisciplinary approach-including surgeons, primary care physician, registered dietitian nutritionist, and psychiatrist-should be considered for a patient with a buried penis. The surgical management is individualized and based on not only the extent of the problem but also whether an associated condition, such as urethral stricture, is present. Most patients are pleased with the functional and aesthetic outcome following surgery.

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“…It is a progressive and debilitating problem. Subsequently, the condition has been referred to as concealed, hidden, inconspicuous, trapped, and vanishing penis [1][2]5,6,8,16].…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Adult Acquired Buried Penis: A Hidden Problem in Obese Men

Cohen¹

2021

Cureus

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“…Such requests should be treated as other medical conditions, taking into account a thorough medical history and psychological assessment • Genital problems body habitus. 4 This, combined with other techniques such as trimming pubic hair, can enhance the appearance of the penis. Due to rising obesity rates in the UK, this is going to pose more of a problem for men in the future.…”

Section: Weight Lossmentioning

confidence: 99%

Penile lengthening and the treatment options available

Kwok

Parnham

Lucky

2019

Trends Urol & Men's Health

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“…However, the adequately prepuce degloving might cause postoperative penile retraction, lymphocytic obstruction-induced perioperative edema in the transposed inner prepuce (short-term) and subcutaneous dartos hyperplasia (long-term), which might subsequently lead to a poor cosmetic appearance of the penis in some cases (Fig. 2) [11][12][13]. Lim et al described that the resection of abnormal dartos fascia completely removing the redundant dartos tissue during surgery was a simple technique to avoid these complications [14].…”

Section: Introductionmentioning

confidence: 99%

Assessment of The Nerve Ending Distributions on Dartos Fascia in Children with Concealed Penises

Huang¹,

Tang²,

Gu³

2020

Preprint

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Background: The role of nerve ending distribution indartos fascia in the pathogenesis of concealed penis (CP) is still unclear. Our aim is to compare the histological structure of dartos fascia of both normal and CP tissue to evaluate the importance of nerve ending distribution. Methods: After degloving, tissue specimens of dartos fascia located at 3-, 6-, 9-, and 12- o’clock of the penile shaft were harvested from the CP.Therelatively normal tissues at the periphery after resection of black moles or hemangioma in other parts were considered as control. The distribution of nerve plexuses between these groups was compared using standard hematoxylin and eosin (H&E) staining and S-100 immunohistochemical staining. Results: The number of nerve plexuses for all cases of CP was abundant but significantly fewer in the normal group. In CP, the number of nerve plexuses in superficial fascia collected at 6 o’clock position of penile shaft was the most abundant among different positions. Conclusions: Abundant nerve plexuses were presented indartos fascia in children with CP, especially at the 6 o’clock position,suggesting surgery performed at the preputial frenulum should avoid damage of dartos fascia to preserve the erectile and sexual function of penis in puberty.

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Evaluation and management of adult acquired buried penis

Cited by 36 publications

References 22 publications

Adult Acquired Buried Penis: A Hidden Problem in Obese Men

Adult Acquired Buried Penis: A Hidden Problem in Obese Men

Penile lengthening and the treatment options available

Assessment of The Nerve Ending Distributions on Dartos Fascia in Children with Concealed Penises

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