Technical Considerations and Outcomes for Panniculectomy in the Setting of Buried Penis Patients: A Systematic Review and Database Analysis.

Autor:	Barrow B; From the Division of Plastic Surgery, Mount Sinai Health, New York City, NY., Laspro M; Hansjorg Wyss Department of Plastic Surgery at NYU Grossman School of Medicine, New York, NY., Brydges HT; Hansjorg Wyss Department of Plastic Surgery at NYU Grossman School of Medicine, New York, NY., Onuh O; Hansjorg Wyss Department of Plastic Surgery at NYU Grossman School of Medicine, New York, NY., Stead TS; Warren Alpert Medical School of Brown University, Providence, RI., Levine JP; Hansjorg Wyss Department of Plastic Surgery at NYU Grossman School of Medicine, New York, NY., Zhao LC, Chiu ES; Hansjorg Wyss Department of Plastic Surgery at NYU Grossman School of Medicine, New York, NY.
Jazyk:	angličtina
Zdroj:	Annals of plastic surgery [Ann Plast Surg] 2024 Sep 01; Vol. 93 (3), pp. 355-360. Date of Electronic Publication: 2024 Jul 15.
DOI:	10.1097/SAP.0000000000004025
Abstrakt:	Background: Often secondary to obesity, adult-acquired buried penis (AABP) is an increasingly common condition. AABP is often detrimental to urinary and sexual function, psychological well-being, and quality of life. Surgical treatment involves resection of excess soft tissue, with adjunct procedures, including a panniculectomy. However, few studies have been conducted investigating the risks of panniculectomy in the context of AABP surgical repair. Methods: A systematic review of PubMed, Embase, and Cochrane databases was performed, following the PRISMA 2020 guidelines. Descriptive statistics regarding patient demographics, complications, and surgical technique were conducted. After this, an analysis of AABP patients within the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database was conducted. Results: Four studies including 57 patients reported panniculectomy as part of buried penis repair (PBPR). Surgical approaches included a modified trapezoid and traditional transverse incision. All authors utilized postoperative drains. Dehiscence and wound infection were the most frequent complications. Univariate NSQIP analysis revealed that PBPR patients had higher body mass index, more comorbidities, and greater wound complication rates. Multivariate analysis revealed that PBPR did not significantly increase 30-day complications compared to isolated BPR ( P > 0.05), while body mass index remained a significant predictor. Conclusions: Surgical repair of AABP can greatly improve patient quality of life. The available literature and NSQIP-based analysis reveal that concurrent panniculectomy in AABP repair has a comparable complication profile. Future studies are necessary to better characterize the long-term outcomes of this PBPR. Competing Interests: Conflicts of interest and sources of funding: none declared. (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)
Databáze:	MEDLINE
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