Modern management of adult-acquired buried penis.
Identifieur interne : 002C21 ( Ncbi/Merge ); précédent : 002C20; suivant : 002C22Modern management of adult-acquired buried penis.
Auteurs : Shou-Hung Tang [Taïwan] ; Deepti Kamat ; Richard A. SantucciSource :
- Urology [ 1527-9995 ] ; 2008.
Descripteurs français
- KwdFr :
- MESH :
- anatomopathologie : Pénis.
- Adulte, Adulte d'âge moyen, Humains, Mâle, Obésité morbide, Procédures de chirurgie reconstructive, Procédures de chirurgie urogénitale, Pénis.
English descriptors
- KwdEn :
- MESH :
- complications : Obesity, Morbid.
- methods : Reconstructive Surgical Procedures, Urogenital Surgical Procedures.
- pathology : Penis.
- surgery : Penis.
- Adult, Humans, Male, Middle Aged.
Abstract
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.
DOI: 10.1016/j.urology.2008.01.059
PubMed: 18343486
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pubmed:18343486Le document en format XML
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<author><name sortKey="Tang, Shou Hung" sort="Tang, Shou Hung" uniqKey="Tang S" first="Shou-Hung" last="Tang">Shou-Hung Tang</name>
<affiliation wicri:level="1"><nlm:affiliation>Department of Urology, Tri-Service General Hospital, Taipei, Taiwan.</nlm:affiliation>
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<wicri:regionArea>Department of Urology, Tri-Service General Hospital, Taipei</wicri:regionArea>
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<author><name sortKey="Kamat, Deepti" sort="Kamat, Deepti" uniqKey="Kamat D" first="Deepti" last="Kamat">Deepti Kamat</name>
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<term>Obesity, Morbid (complications)</term>
<term>Penis (pathology)</term>
<term>Penis (surgery)</term>
<term>Reconstructive Surgical Procedures (methods)</term>
<term>Urogenital Surgical Procedures (methods)</term>
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<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte</term>
<term>Adulte d'âge moyen</term>
<term>Humains</term>
<term>Mâle</term>
<term>Obésité morbide ()</term>
<term>Procédures de chirurgie reconstructive ()</term>
<term>Procédures de chirurgie urogénitale ()</term>
<term>Pénis ()</term>
<term>Pénis (anatomopathologie)</term>
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<term>Urogenital Surgical Procedures</term>
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<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<term>Adulte d'âge moyen</term>
<term>Humains</term>
<term>Mâle</term>
<term>Obésité morbide</term>
<term>Procédures de chirurgie reconstructive</term>
<term>Procédures de chirurgie urogénitale</term>
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<front><div type="abstract" xml:lang="en">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.</div>
</front>
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<DateCreated><Year>2008</Year>
<Month>07</Month>
<Day>07</Day>
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<DateCompleted><Year>2008</Year>
<Month>08</Month>
<Day>05</Day>
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<Month>07</Month>
<Day>07</Day>
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<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1527-9995</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>72</Volume>
<Issue>1</Issue>
<PubDate><Year>2008</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Urology</Title>
<ISOAbbreviation>Urology</ISOAbbreviation>
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<ArticleTitle>Modern management of adult-acquired buried penis.</ArticleTitle>
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<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.urology.2008.01.059</ELocationID>
<Abstract><AbstractText Label="OBJECTIVES" NlmCategory="OBJECTIVE">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.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="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. All 5 patients required scrotoplasty and split-thickness skin grafts fastened with dilute fibrin glue to cover the penile skin defects. Excision of the excessive suprapubic fat pad (escutcheonectomy) was performed in the 4 obese patients.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">All patients achieved excellent cosmetic results, with successful and lasting unburying achieved in all cases. The operative difficulty, intraoperative blood loss, and length of hospital stay varied. No wound complications developed at the skin donor sites, and a rate of 80% to 100% graft take was observed on the penis at 2 months postoperatively. Abdominal wound complications were noted in 2 patients and resolved with daily dressing changes.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Acquired adult buried penis is a correctable problem. The use of combined techniques, including surgical unburying, scrotoplasty, escutcheonectomy, and split-thickness skin grafts fixed with dilute fibrin glue, appears to be a useful approach to repair this unique condition.</AbstractText>
</Abstract>
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