Surgical Reconstruction of Buried Penis
Entrapment of the phallus because of morbid obesity, post-circumcision cicatrix formation, genital skin loss, trauma, or genital lymphedema in the adult patient is referred to collectively as acquired buried penis or concealed penis. It is a morbid condition due to sexual dysfunction, lower urinary tract symptoms, local skin excoriation, and associated depression. Increasingly, there is a recognition that adult acquired buried penis is associated with lichen sclerosus and urethral stricture disease. Surgical management is complex and complications include penile reburying, wound breakdown, and unsatisfactory cosmetic and functional outcomes are not uncommon. Preoperative evaluation and optimization is paramount as patients with buried penis very often have comorbidities associated with obesity that affect wound healing. Despite the challenges and frequent complications, patients report significant improvements in quality of life in both urinary and sexual domains with contemporary surgical treatment. Almost universally, patients also report they would undergo surgery again when queried.
KeywordsAdult acquired buried penis Hidden penis Morbid obesity Genital lymphedema Cicatrix
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