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Buried penis management

Ricardo Sol Melgar, Daniela Gorduza, Delphine Demède, Pierre Mouriquand
OBJECTIVE: The aim was to describe the clinical presentation and the surgical management of penile epispadias associated with a buried penis in five children. PATIENTS AND METHODS: This is a 5-year retrospective review of patients presenting with a buried penis, a congenital defect of the penile skin shaft associated with an unretractable foreskin for whom a penile epispadias was found at the time of surgery. All had undergone surgery combining a Cantwell-Ransley procedure and refashioning of the penile skin following the authors' technique...
September 18, 2016: Journal of Pediatric Urology
Bradley D Figler, Lisly Chery, Jeffrey Friedrich, Hunter Wessells, Bryan B Voelzke
No abstract text is available yet for this article.
August 16, 2016: Plastic and Reconstructive Surgery
Ivo A Pestana, Duncan B Hughes, Detlev Erdmann
No abstract text is available yet for this article.
August 16, 2016: Plastic and Reconstructive Surgery
Meena Kalyanaraman, Derrick McQueen, Joseph Sykes, Tej Phatak, Farhaan Malik, Preethi S Raghava
Plastibell is one of the three most common devices used for neonatal circumcision in the United States, with a complication rate as low as 1.8%. The Plastibell circumcision device is commonly used under local anesthesia for religious circumcision in male neonates, because of cosmetic reasons and ease of use. Occasionally, instead of falling off, the device may get buried under the skin along the shaft of the penis, thereby obstructing the normal flow of urine. Furthermore, the foreskin of neonates is highly vascularized, and hence, hemorrhage and infection are possible when the skin is cut...
April 2015: Korean Journal of Pediatrics
James Rybak, Stephen Larsen, Michelle Yu, Laurence A Levine
INTRODUCTION: Management of adult acquired buried penis is a troublesome situation for both patient and surgeon. The buried penis has been associated with significant erectile and voiding dysfunction, depression, and overall poor quality of life (QOL). AIM: To identify outcomes following reconstructive surgery with release of buried penis, escutcheonectomy, and circumcision with or without skin grafting. METHODS: We retrospectively identified 11 patients treated by a single surgeon between 2007 and 2011, patient ages were 44-69; complete data review was available on all 11...
April 2014: Journal of Sexual Medicine
I C C King, A Tahir, C Ramanathan, H Siddiqui
Introduction. Buried penis is a difficult condition to manage in children and adults and conveys significant physical and psychological morbidity. Surgery is often declined due to morbid obesity, forcing patients to live in disharmony for years until the desired weight reduction is achieved. No single operative technique fits all. We present our experience and surgical approach resulting in an improved algorithm unifying the treatment of adults and children. Methods. We conducted a retrospective analysis of patients treated for buried penis between 2011 and 2012...
2013: ISRN Urology
Adesoji O Ademuyiwa, Rufus W Ojewola, Olumide A Elebute, Emmanuel A Jeje, Chris O Bode
AIM/OBJECTIVE: To determine the pattern of morbidity and outcome among patients referred to the Pediatric Surgery Unit of the Lagos University Teaching Hospital (LUTH) following circumcision. MATERIALS AND METHODS: Retrospective descriptive study of all patients with complications of circumcision who were managed in LUTH between 2008 and 2010. RESULTS: There were 36 patients. The age range was between 2 days and 9 years (median-3 months). Fifteen cases (42...
July 2012: Nigerian Journal of Surgery: Official Publication of the Nigerian Surgical Research Society
Tugba Bilmez Aslan, Fatih Gurbuz, Fatih Temiz, Bilgin Yuksel, Ali Kemal Topaloglu
OBJECTIVE: To evaluate etiology of the patients with micropenis presenting to a tertiary health care center. METHODS: In this prospective study all patients who were referred with a diagnosis of micropenis from October 2009 through October 2010, underwent a complete evaluation including measurement of stretched penile length. RESULTS: In 20 (31 %) among a total of 65 patients, measured stretched penile length was not consistent with the description of micropenis...
August 2014: Indian Journal of Pediatrics
B Boillot, Y Teklali, R Moog, S Droupy
INTRODUCTION: Congenital abnormalities of the penis are usually diagnosed at birth and pose aesthetic and functional problems sometimes requiring surgical management. METHODS: A literature review was conducted on Medline considering the articles listed until January 2012. RESULTS: Hypospadias is the most common malformation (1 in 250 boys. Familial forms: 7%). The causes remain hypothetical but the doubling of the incidence in 30 years could be linked to fetal exposure to endocrine disruptors "estrogen-like" used in the food industry in particular...
July 2013: Progrès en Urologie
Christopher J Salgado, Harvey Chim, Jennifer C Tang, Stan J Monstrey, Samir Mardini
A variety of surgical options exists for penile reconstruction. The key to success of therapy is holistic management of the patient, with attention to the psychological aspects of treatment. In this article, we review reconstructive modalities for various types of penile defects inclusive of partial and total defects as well as the buried penis, and also describe recent basic science advances, which may promise new options for penile reconstruction.
August 2011: Seminars in Plastic Surgery
Jeremy Wiygul, Lane S Palmer
Micropenis is part of a larger group of conditions broadly known as inconspicuous penis; however, it is fundamentally different from the other diagnoses in this group, such as webbed penis and buried penis, in that the underlying problem is the size of the penis itself, not with the surrounding and overlying skin. This condition is usually the result of a defect in the hypothalamic-pituitary-gonadal axis, although iatrogenic causes are identified infrequently. Management revolves around testosterone (direct administration or encouraging the patient's body to make its own), and long-term results with respect to increase in penile length are promising...
2011: TheScientificWorldJournal
Julian Wan, Karl T Rew
A variety of penile problems are commonly seen by primary care physicians. This article reviews the diagnosis, evaluation, and management of congenital conditions such as hypospadias, chordee, webbed and buried penis, duplicated urethra, ambiguous genitalia, and micropenis. Acquired emergent conditions, including minor trauma and paraphimosis, are also discussed, with a particular emphasis on initial evaluation and management. Conditions associated with erectile dysfunction, including priapism and Peyronie disease, are reviewed...
September 2010: Primary Care
Ivo A Pestana, Jason M Greenfield, Mark Walsh, Craig F Donatucci, Detlev Erdmann
BACKGROUND: The condition of "buried" penis may arise from several factors. Although the pediatric form is a rare congenital disorder, it may become an acquired condition in adulthood, most commonly from obesity, radical circumcision, or penoscrotal lymphedema. As obesity has become a national epidemic, the incidence of this phenomenon will inevitably increase. The purpose of this article is to present current strategies in the management of this physically and psychologically debilitating condition...
October 2009: Plastic and Reconstructive Surgery
Shou-Hung Tang, Deepti Kamat, Richard A Santucci
OBJECTIVES: To report our successful experience in managing acquired adult buried penis from nontraumatic origins. We describe a combination of modern techniques involving escutcheonectomy, scrotoplasty, split-thickness skin graft, and fibrin sealant application for genital reconstruction. METHODS: From 2004 through 2007, 5 men with acquired adult buried penis underwent surgical repair at our medical center, by a single surgeon. A buried penis was a result of obesity in 4 of 5 patients, although other complicating factors, such as scrotal lymphedema, lichen sclerosis, and peripenile woody induration, were present in 3 of the 5 patients...
July 2008: Urology
Hussein Ghanem, Rany Shamloul, Fathy Khodeir, Hany ElShafie, Amr Kaddah, Ihab Ismail
INTRODUCTION: Penile augmentation surgery has become increasingly common though there is no consensus about the management strategy for men with a complaint of small penis. AIM: To introduce and evaluate the outcome of a structured management and counseling protocol for patients with a complaint of a small-sized penis. METHODS: A structured protocol for consultation and management of (physically normal) patients with a complaint of a small penis through a descriptive study comprised of a series of 250 patients...
September 2007: Journal of Sexual Medicine
Linus I Okeke, Adanze A Asinobi, Odunayo S Ikuerowo
BACKGROUND: The number of infants managed for neonatal circumcision injuries in our unit has been on the increase over the past 16 years. In our search for the sources and reasons for these injuries, we were unable to identify any previous studies of circumcision injuries from our environment. We therefore decided to carry out this study in order to shed some light on this growing problem. METHODS: The patients were made up of 370 consecutive consented children attending our infant welfare clinic for immunization over a period of 3 months...
2006: BMC Urology
John F Redman
PURPOSE: The term "buried penis" has been applied to a variety of penile abnormalities and includes an apparent buried penis that is obvious at birth. The purpose of this study was to examine prospectively the congenital buried penis and to evaluate an operative technique for its management. MATERIALS AND METHODS: A total of 31 males 2 to 28 months old (mean age 12.3 months) with a congenital buried penis underwent surgical correction of the anomaly. Measurements were made of the penile shaft skin, inner leaf of the prepuce, glans length and stretched penile length...
May 2005: Journal of Urology
B Sivakumar, A A Brown, L Kangesu
BACKGROUND: The aim of a circumcision is to remove sufficient foreskin from the penile shaft and preputial epithelium to uncover the glans. Removal of too much preputial skin may lead to an unsatisfactory cosmetic and functional result. Patients with a congenital anomaly known as 'buried penis' are particularly susceptible to this. In this condition, abnormal dartos fascial bands or muscle fibres tether the penile shaft and as a result conceal its true length. CASE REPORT: A 5-year-old boy underwent circumcision but his 'buried penis' was not recognised by the surgeon pre-operatively...
January 2004: Annals of the Royal College of Surgeons of England
Corey W Chopra, Nagi T Ayoub, Cecil Bromfield, Peter D Witt
The pathological entity of the buried penis occurs most commonly in children and is usually managed by urologists. Its presentation in the adult population may invoke plastic surgery expertise. The pathophysiology of buried penis in the adult is entirely distinct from that in children, and management principles may be complicated. Many plastic surgeons are unaware of the entity, even though they may be called to assist urology specialists in the management of complications in an adult patient. Not surprisingly, precious little information is available in the plastic surgical literature to provide management guidelines for this condition...
November 2002: Annals of Plastic Surgery
Todd M Webster, Michael P Leonard
INTRODUCTION: Circumcision has been the traditional treatment for phimosis. Recent reports of medical management of phimosis with topical steroids quote success rates of 67%-95%. We present our results with topical steroid therapy for treatment of phimosis. MATERIALS AND METHODS: Retrospective review of 69 boys between the age of 3 and 13 years (average 7.4) who were referred to Urology clinic over a one year period (August 1999-2000) with phimosis. Boys without a distal preputial ring were excluded...
April 2002: Canadian Journal of Urology
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