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Buried penis management

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https://www.readbyqxmd.com/read/29625136/surgical-management-of-adult-acquired-buried-penis-impact-on-urinary-and-sexual-quality-of-life-outcomes
#1
Katherine M Theisen, Thomas W Fuller, Paul Rusilko
OBJECTIVES: To assess postoperative patient-reported quality of life outcomes following surgical management of adult acquired buried penis (AABP). We hypothesize that surgical treatment of AABP results in improvements in urinary and sexual quality of life. METHODS: Patients that underwent surgical treatment of AABP were retrospectively identified. The Expanded Prostate Cancer Index (EPIC) questionnaire was completed at ≥ 3 months postoperatively, and completed retrospectively to define preoperative symptoms...
April 3, 2018: Urology
https://www.readbyqxmd.com/read/29492732/surgical-management-of-adult-acquired-buried-penis
#2
REVIEW
Thomas W Fuller, Katherine M Theisen, Anup Shah, Paul J Rusilko
PURPOSE OF REVIEW: Adult acquired buried penis is a morbid condition characterized by complete entrapment of the phallus as a result of morbid obesity, post-surgical cicatrix formation, or primary genital lymphedema. Hygienic voiding is not possible and urinary dribbling is frequent with accompanying inflammation, skin breakdown, and infection from the chronic moisture. The end result is penile skin fibrosis resulting in permanent functional loss. Herein, we describe the etiology of adult acquired buried penis, advances in its surgical management, and quality of life outcomes with treatment...
February 28, 2018: Current Urology Reports
https://www.readbyqxmd.com/read/29467914/comprehensive-review-and-case-study-on-the-management-of-buried-penis-syndrome-and-related-panniculectomy
#3
Hadley Burns, J Stephen Gunn, Saeed Chowdhry, Thomas Lee, Steven Schulz, Bradon J Wilhelmi
Objective: This paper discusses the various surgical techniques and outcomes associated with management of buried penis syndrome. Methods: Presented is the case of a 49-year-old man with morbid obesity, leading to massive panniculus and buried penis. We review our technique for reconstruction of the buried penis and treatment of the overlying large panniculus. Literature search was conducted to review current techniques in correcting buried penis syndrome. Results: The patient underwent a successful panniculectomy with removal of all excess skin and tissue...
2018: Eplasty
https://www.readbyqxmd.com/read/28868232/penile-reconstruction-with-skin-grafts-and-dermal-matrices-indications-and-management
#4
Paloma Triana Junco, Mariela Dore, Vanesa Nuñez Cerezo, Javier Jimenez Gomez, Miriam Miguel Ferrero, Mercedes Díaz González, Pedro Lopez-Pereira, Juan Carlos Lopez-Gutierrez
Introduction  The penis eventually needs specific cutaneous coverage in the context of reconstructive procedures following trauma or congenital anomalies. Local flaps are the first choice but are not always available after multiple previous procedures. In these cases, skin graft and dermal matrices should be considered. Materials and Methods  This study was a retrospective review of the past 4 years of four patients with severe loss of penile shaft skin who underwent skin reconstruction. Dermal matrices and skin grafts were utilized...
January 2017: European Journal of Pediatric Surgery Reports
https://www.readbyqxmd.com/read/28779991/surgical-management-of-adult-acquired-buried-penis-escutcheonectomy-scrotectomy-and-penile-split-thickness-skin-graft
#5
Thomas W Fuller, Katherine Theisen, Paul Rusilko
OBJECTIVE: To demonstrate the surgical management of adult acquired buried penis (AABP). Affected patients have poor sexual function, urinary dribbling with subsequent skin breakdown, mood disturbance, lichen sclerosus with subsequent urethral stricture, and poor quality of life. Previous efforts have described limited repairs including an isolated resection of the escutcheon, which unfortunately often leads to reburying. We present a more extensive surgical repair including escutcheonectomy, scrotoplasty, and penile split-thickness skin graft (STSG) to provide a durable definitive repair...
October 2017: Urology
https://www.readbyqxmd.com/read/28465682/incidence-of-urethral-stricture-in-patients-with-adult-acquired-buried-penis
#6
Aron Liaw, Lanette Rickborn, Christopher McClung
Introduction . Concealed-buried penis is an acquired condition associated with obesity, challenging to both manage and repair. Urethral stricture is a more common disorder with multiple etiologies. Lichen sclerosus is a significant known cause of urethral stricture, implicated in up to 30%. We hypothesize that patients with buried penis have a higher rate of urethral stricture and lichen sclerosus than the general population. Methods . We retrospectively reviewed a single surgeon's (CM) case logs for patients presenting with a buried penis...
2017: Advances in Urology
https://www.readbyqxmd.com/read/28132851/patient-reported-social-psychological-and-urologic-outcomes-after-adult-buried-penis-repair
#7
Maria A Voznesensky, W Thomas Lawrence, Jerrod N Keith, Bradley A Erickson
OBJECTIVE: To assess changes in hygiene, urination, and sexual activity after surgery for adult-acquired buried penis. MATERIALS AND METHODS: The study included men who underwent buried penis repair from 2011 to 2015. Patients were asked pre- and postoperative questions on hygiene, urinary difficulties, sexual difficulties, and difficulties with activities of daily living (modified Post-Bariatric Surgery Quality of Life Questionnaire). Postoperative satisfaction was assessed at a minimum of 6 months...
January 26, 2017: Urology
https://www.readbyqxmd.com/read/27751834/concealed-epispadias-associated-with-a-buried-penis
#8
REVIEW
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...
December 2016: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/27541613/key-concepts-in-the-management-of-the-adult-buried-penis
#9
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
https://www.readbyqxmd.com/read/27541612/key-concepts-in-the-management-of-the-adult-buried-penis
#10
Ivo A Pestana, Duncan B Hughes, Detlev Erdmann
No abstract text is available yet for this article.
August 16, 2016: Plastic and Reconstructive Surgery
https://www.readbyqxmd.com/read/25932038/urosepsis-and-postrenal-acute-renal-failure-in-a-neonate-following-circumcision-with-plastibell-device
#11
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
https://www.readbyqxmd.com/read/24612430/single-center-outcomes-after-reconstructive-surgical-correction-of-adult-acquired-buried-penis-measurements-of-erectile-function-depression-and-quality-of-life
#12
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
https://www.readbyqxmd.com/read/24490087/buried-penis-evaluation-of-outcomes-in-children-and-adults-modification-of-a-unified-treatment-algorithm-and-review-of-the-literature
#13
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
https://www.readbyqxmd.com/read/24027397/surgically-correctable-morbidity-from-male-circumcision-indications-for-specialist-surgical-care-in-lagos
#14
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
https://www.readbyqxmd.com/read/24005879/etiological-evaluation-of-patients-presenting-with-isolated-micropenis-to-an-academic-health-care-center
#15
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
https://www.readbyqxmd.com/read/23830261/-penile-congenital-abnormalities
#16
REVIEW
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
https://www.readbyqxmd.com/read/22851914/penile-reconstruction
#17
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
https://www.readbyqxmd.com/read/21805015/micropenis
#18
REVIEW
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...
July 28, 2011: TheScientificWorldJournal
https://www.readbyqxmd.com/read/20705203/common-penile-problems
#19
REVIEW
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
https://www.readbyqxmd.com/read/19935302/management-of-buried-penis-in-adulthood-an-overview
#20
REVIEW
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
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