(538) Penile Enlargement for Patient with Buried Penis: Pubic Dermolipectomy, Scrotoplasty and Mons Pubis Reconstruction

Abstract Introduction Acquired buried penis is a common condition in obese patients. Abnormal excess fat accumulation under the pubic skin leads to partially or completely disappearance of penis. This related voiding difficulties and sexual dysfunction. The goal surgical treatment expose full penile lengthy by excising adipose tissue part skin. Objective aim this kind surgery make possible have normal life patients with Methods We performed technique for 25 aged from 18 72 y (mean 48). Preoperatively, patient marked procedure standing position. Two transversal incisions are made on pubis joined laterally both sides towards anterior iliac spines care taken avoid formation "dog ears". suprapubic removed. Following inner surface Scarpas fascia, also removed penoscrotal angle scrotum as much leaving exposed funiculus testis sides. Suspensory ligament was incised. Penile redistribution better organ exposure. Postoperative vacuum erectile device used order prevent retraction. Results Follow up at 6 months. Early postoperative complications were hematoma (7pts), edema (5pts), seroma wound infection shaft retraction (3pts). Majority pts (22pts) satisfied good aesthetical functional outcome. Conclusions Pubic dermolipectomy safe satisfactory results treat men Surgical exposition accomplished all Disclosure No