The Outcomes of Adult Acquired Buried Penis Surgical Reconstruction

• Published in: Life (Basel, Switzerland) Switzerland), 2024-10, Vol.14 (10), p.1321
• Main Authors: Falcone, Marco, Plamadeala, Natalia, Cirigliano, Lorenzo, Preto, Mirko, Peretti, Federica, Ferro, Ilaria, Scavone, Martina, Zupo, Emanuele, Gontero, Paolo
• Format: Article
• Language: English
• Subjects: Abdomen; adult acquired buried penis; Body mass index; Body size; Catheters; Circumcision; Classification; Comorbidity; Complexity; Complications; Debridement; Grafting; Hypertension; Ligaments; Obesity; patient-reported outcome; Patients; penile reconstruction; Penis; Plastic surgery; Postoperative; Quality of life; Reconstructive surgery; Recovery (Medical); Self esteem; Sexual behavior; Skin; Skin & tissue grafts; Skin grafts; Surgeons; Surgery; surgical and functional outcomes; Surgical outcomes; Survival; Sutures; Transplantation
• ISSN: 2075-1729; 2075-1729
• DOI: 10.3390/life14101321

Adult Acquired Buried Penis (AABP) is a morbid condition that often requires surgical intervention. This retrospective study of 46 patients who underwent AABP surgery from November 2017 to July 2023 evaluates surgical outcomes, functional outcomes, and patient-reported outcomes. The median follow-up (FU) was 46 months. Patients were categorized by surgical complexity using the Pariser classification, with 76.1% undergoing high-complexity procedures (Pariser ≥ III). Common comorbidities included obesity (58.7%), prior circumcision (52.2%), and hypertension (52.2%). The low-complexity group had a shorter hospital stay ( = 0.02). No other significant differences were noted between groups in terms of Body Mass Index, operative time, or FU. Sexual dysfunction (45.7%) and urinary issues (38.1%) were the main reasons for surgical consultation. Skin grafting was required in 63.0% of patients; partial graft loss was more common in full thicknes skin graft group ( = 0.04). Postoperative complications occurred in 32.6% of patients, 13.3% of which were classified severe (Clavien ≥ III). The median increase in stretched penile length was 2 cm. The recurrence rate was 21.7%. The 12-month recurrence-free survival rate was 89.1%. All groups saw significant improvements in urinary and sexual function post-surgery ( < 0.05), and high patient satisfaction was reported (90.3%). Despite the complication rate, AABP surgery significantly improves quality of life, with ongoing advancements in technique anticipated to enhance outcomes further.