Sex Med Rev , 14 May Following removal of the overhanging panniculus, satisfactory reconstruction of a hidden penis is possible when proper care is taken to adhere the base of the penis to the pubis. Jump to content AUAnet. Minimally invasive continent catheterizable ileal cecocystoplasty Dr. Patients are often depressed; however, depression almost entirely improves postoperatively. Curr Urol Rep , 19 3 , 28 Feb Once the skin adjacent to the penis is fixed appropriately to the pubis, an important distinction must be made regarding the viability of the penile skin Fig 8.
The Use of Full Thickness Skin Graft Phalloplasty During Adult Acquired Buried Penis Repair
Urology ; In either case, if penile skin is diseased and removed, a split-thickness skin graft is then transferred to the newly visible glans penis. Perineal Urethrostomy Dr. Methods: Presented is the case of a year-old man with morbid obesity, leading to massive panniculus and buried penis. Information was gathered on patient demographics, past medical history, concomitant problems such as urethral stricture, and lymphedema , and outcomes.
Patients generally recover well, are satisfied with results, and are reported to have fully regained urinary and sexual functions following surgical correction of the buried penis. Dorsal Buccal Graft Urethroplasty Dr. It has been reported that the stretched penile length strongly correlates with erectile length and that this method is sufficient to determine the size of the skin graft needed. We do not endorse non-Cleveland Clinic products or services. How is surgery for buried penis and scrotal lymphedema done?
It is also referred to as a hidden or concealed penis. Sexual function was possible in all patients, but the time until sexual function returned was not directly measured. Rybak et al 8 reported fixing the base of the penis to 4 points of the pubis, specifically at the 2, 4, 8, and 10 o'clock positions. Cleveland Clinic is a non-profit academic medical center. Figure 1: Buried penis with conical shape of skin cover, narrow meatus Click here to view.