The outcomes of surgical management options for adult acquired buried penis.

Autor: Falcone M; Neurourology Clinic - A.O.U. 'Città della Salute e della Scienza' - Unità Spinale Unipolare, Turin, Italy. marco.falcone@unito.it.; Urology Clinic - A.O.U. 'Città della Salute e della Scienza' - Molinette Hospital, University of Turin, Turin, Italy. marco.falcone@unito.it., Preto M; Urology Clinic - A.O.U. 'Città della Salute e della Scienza' - Molinette Hospital, University of Turin, Turin, Italy., Timpano M; Urology Clinic - A.O.U. 'Città della Salute e della Scienza' - Molinette Hospital, University of Turin, Turin, Italy., Oderda M; Urology Clinic - A.O.U. 'Città della Salute e della Scienza' - Molinette Hospital, University of Turin, Turin, Italy., Plamadeala N; Urology Clinic - A.O.U. 'Città della Salute e della Scienza' - Molinette Hospital, University of Turin, Turin, Italy., Cirigliano L; Urology Clinic - A.O.U. 'Città della Salute e della Scienza' - Molinette Hospital, University of Turin, Turin, Italy., Blecher G; Department of Surgery, School of Clinical Sciences, Monash University, Melbourne, VIC, Australia.; Department of Urology, The Alfred Hospital, Melbourne, VIC, Australia., Peretti F; Urology Clinic - A.O.U. 'Città della Salute e della Scienza' - Molinette Hospital, University of Turin, Turin, Italy., Ferro I; Urology Clinic - A.O.U. 'Città della Salute e della Scienza' - Molinette Hospital, University of Turin, Turin, Italy., Gontero P; Urology Clinic - A.O.U. 'Città della Salute e della Scienza' - Molinette Hospital, University of Turin, Turin, Italy.
Jazyk: angličtina
Zdroj: International journal of impotence research [Int J Impot Res] 2023 Dec; Vol. 35 (8), pp. 712-719. Date of Electronic Publication: 2022 Nov 18.
DOI: 10.1038/s41443-022-00642-9
Abstrakt: Functional and surgical outcomes after surgical correction of adult acquired buried penis (AABP) are limited in the current literature. We retrospectively recruited patients underwent surgical treatment of AABP in a single institution from 2017 to 2021. Surgical repair was classified according to surgical complexity following Pariser-Santucci's classification. The primary endpoint of the study was the recurrence-free rate survival. The secondary endpoints were surgical, functional and patients' reported outcomes. Overall 28 patients were included in the study. Median follow-up was 27.5 (18.5-34.5). The most common complaints at presentation were sexual (53.6%) and voiding (39.3%) dysfunction. Surgical management steps ranged from circumcision to more complex procedures, such as suprapubic fat pad excision, abdominoplasty and/or penile shaft skin grafting. Overall postoperative complications were recorded in 32.1%. High-grade complications (Clavien≥3) occurred in 7.1%. One-year recurrence-free survival was 88.7%. Postoperatively IPSS and IIEF-15 questionnaires showed a significant improvement in urinary 8 (0-12) vs 2 (0-3), p = 0.03 and sexual function 37 (23-68) vs 68 (45-72), p = 0.001 respectively. Overall, patients reported functional improvement and 93.8% experienced a positive impact of QoL. AABP surgical repair, despite the high incidence of complications, seems to allow satisfactory outcomes and a significant improvement in patients' QoL.
(© 2022. The Author(s), under exclusive licence to Springer Nature Limited.)
Databáze: MEDLINE
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