The Prevalence of Penile Cancer in Patients With Adult Acquired Buried Penis

To determine the prevalence of penile cancer in patients with adult acquired buried penis (AABP). Penile cancer is a rare but aggressive cancer. Several case reports have recently been published that indicate that AABP may increase the risk of penile cancer. A retrospective review was conducted of a...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2019-11, Vol.133, p.229-233
Main Authors: Pekala, Kelly R., Pelzman, Daniel, Theisen, Katherine M., Rogers, Devin, Maganty, Avinash, Fuller, Thomas W., Rusilko, Paul J.
Format: Article
Language:English
Subjects:
Adult
Humans
Male
Middle Aged
Obesity - complications
Penile Diseases - complications
Penile Diseases - etiology
Penile Neoplasms - complications
Penile Neoplasms - epidemiology
Prevalence
Retrospective Studies
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Summary:To determine the prevalence of penile cancer in patients with adult acquired buried penis (AABP). Penile cancer is a rare but aggressive cancer. Several case reports have recently been published that indicate that AABP may increase the risk of penile cancer. A retrospective review was conducted of adults diagnosed with AABP and penile cancer between January, 2008 and December, 2018 seen at a tertiary referral center. Demographics including age, BMI, comorbidities, etiology of AABP, smoking history, circumcision status, and premalignant lesions (condyloma, lichen sclerosus [LS] carcinoma in situ [CIS]) were recorded. For patients with penile cancer, AJCC staging, grade, TNM staging and treatments were recorded. Basic descriptive statistics were performed for the overall cohort. We used Chi-square tests and Fisher exact tests to compare differences between patients with benign pathology and patients with malignant or pre-malignant pathology. We identified 150 patients with the diagnosis of AABP. The prevalence of penile squamous cell carcinoma was 7%. There was a 35% rate of premalignant lesions. This study is limited by its retrospective and single-institution nature. AABP is a condition that incorporates multiple risk factors for penile cancer. The prevalence of penile cancer appears to be higher in patients with AABP; however, more data are needed to confirm these initial findings. Patients with AABP should be counseled on these risks and should be considered for buried penis repair if a physical examination cannot be performed.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2019.07.019