Treatment of Adult-Acquired Buried Penis
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چکیده
The first know description of buried penis was by Keyes in 1919. Buried penis was described as the “absence of the penis exists when the penis, lacking its proper sheath of skin, lies buried beneath the integument of the abdomen, thigh or scrotum (Keyes, 1919).” Classically, the entity of buried penis has been primarily discussed in the pediatric population (Boemers & De Jong, 1995, Crawford, 1977, Donatucci & Ritter, 1998, Lim et al., 1995, Maizels et al., 1986, McCahill et al., 1995, Wollin et al., 1990). However, a buried penis afflicts many adults leaving them with the inability to have sexual relations, practice personal hygiene, or stand to void since they are unable to direct their penis during micturition (Cromie et al., 1998). Unlike the pediatric patient population, adults with buried penis have acquired this condition as a result of obesity, over exuberant circumcision, scarring due to lichen sclerosis et atrophicus (previously as known as balanitis xerotica obliterans) or lymphedema (Alici et al., 1998, Chopra et al., 2002, Donatucci & Ritter, 1998, Sivakumar et al., 2004, Tang et al., 2008). This chapter discusses the pathophysiology of a buried penis, patient selection for operative management, and surgical management with associated complications.
منابع مشابه
Reconstructive Urology odern Management of Adult-Acquired uried Penis
BJECTIVES 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. ETHODS From 2004 through 2007, 5 men with acquired adult buried penis underwent surgical repair at our medic...
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Background: There are many categories in hidden penises usually differentiation among the terms includes: concealed (before circumcision), trapped (cicatricial or scarred) after circumcision), and buried (associated with adolescence and obesity). Methods: From December 2014 to August 2015, we evaluated 10 patients (6 months–10 years old) with buried penises, concealed penises, trapped penises a...
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Introduction. Concealed-buried penis is an acquired condition associated with obesity, challenging to both manage and repair. Urethral stricture is a more common disorder with multiple etiologies. Lichen sclerosus is a significant known cause of urethral stricture, implicated in up to 30%. We hypothesize that patients with buried penis have a higher rate of urethral stricture and lichen scleros...
متن کاملJournal of Urology and Renal Diseases
Buried penis is a condition one might encounter in patients complaining of a small penile size, and in adulthood can be acquired because of obesity, genital lymphedema, diabetes mellitus, or genital skin loss. Peyronie’s disease is a pathology whose unknown etiology, characterized by an excessive accumulation of fibrotic tissue in the tunica albuginea. A 61years old man, previously undergone tw...
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تاریخ انتشار 2012