Annales de chirurgie plastique et esthetique · 2025
New surgical approach for buried penis with partial release of the penile suspensory system associated with fat transfer and suprapubic retraction.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Laurent Romain, Dalfen Jacqueline, Trouilloud Pierre, Benkhadra Mehdi, Danino Ruben Pierre, Danino Michel Alain
Аннотация
BACKGROUND: Adult acquired buried penis (AABP) is a condition of entrapment of the phallus resulting most commonly from obesity. This condition has a significant negative impact on the quality of life, including micturate difficulties, sexual dysfunction and recurrent infections. Many techniques exist to treat AABP; however, do not necessarily include a suspensory ligament release. The ligamentous system supporting the penis is widely called the "penile suspensory ligament" and is composed of four ligaments.
OBJECTIVES: We wanted to explore the clinical outcomes on an exploratory patient cohort for penis-lengthening in patients with Grade 1 buried penis using a partial release of the penile suspensory system associated with fat transfer combined with a suprapubic retraction.
METHODS: Under general anesthesia, an abdominal liposuction was performed, followed by a direct defatting of the pubic mons. Then the fundiform, the suspensory and the anterior part of the vertical dense ligaments were severed. Furthermore, several anchoring sutures were added and a retropulsion of the supra pubic area was performed. Finally, the purified fat was injected into the penile shaft in a superficial plane. Files from patients who underwent surgery for stage 1 buried penis between 2015 and 2020 were retrospectively reviewed.
RESULTS: Twelve patients with a buried penis underwent a lengthening procedure. The mean augmentation in length was 100% [28.6-218.2] and a mean augmentation of 85.7% [18.2-216.7] in width.
CONCLUSIONS: We described a safe and reproducible technique for penile augmentation in patients with a stage 1 AABP.
LEVEL OF EVIDENCE: Level III, cohort analytic study.
OBJECTIVES: We wanted to explore the clinical outcomes on an exploratory patient cohort for penis-lengthening in patients with Grade 1 buried penis using a partial release of the penile suspensory system associated with fat transfer combined with a suprapubic retraction.
METHODS: Under general anesthesia, an abdominal liposuction was performed, followed by a direct defatting of the pubic mons. Then the fundiform, the suspensory and the anterior part of the vertical dense ligaments were severed. Furthermore, several anchoring sutures were added and a retropulsion of the supra pubic area was performed. Finally, the purified fat was injected into the penile shaft in a superficial plane. Files from patients who underwent surgery for stage 1 buried penis between 2015 and 2020 were retrospectively reviewed.
RESULTS: Twelve patients with a buried penis underwent a lengthening procedure. The mean augmentation in length was 100% [28.6-218.2] and a mean augmentation of 85.7% [18.2-216.7] in width.
CONCLUSIONS: We described a safe and reproducible technique for penile augmentation in patients with a stage 1 AABP.
LEVEL OF EVIDENCE: Level III, cohort analytic study.