Infrapubic Liposuction for Penile Length Augmentation in Patients with Infrapubic Adiposities

Ghanem, Hussein; ElKhaiat, Yaser Ibrahim; Motawi, Ahmad; AbdelRahman, Islam Fathy Soliman

doi:10.1007/s00266-017-0786-2

Cited by 16 publications

(18 citation statements)

References 12 publications

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“…It has been proved a safe and successful procedure; according to a retrospective study, the mean increase of penile length at 3 months post-operation is 1.1 ± 0.38 cm ( P < .001). 8 However, patients undergoing liposuction usually complain of skin stiffness of the operated area in varying degrees, which is nearly inevitable. In our experience, thorough preoperative education, meticulous procedure, and proper pressure dressing after the operation can considerably improve this situation.…”

Section: Discussionmentioning

confidence: 99%

“…These procedures mainly aim to extract the penis from the suprapubic fat pad by tacking the surrounding tissue down to fixed structures or reducing the volume of the fat pad through weight loss, 2 lipectomy, 7 and liposuction. 8 Meanwhile, Z -plasty, 9 skin grafting, 2 and different local flaps 10 are used to cover the penile skin defect when necessary. However, there is not yet a standard method for releasing buried penis that is universally accepted.…”

Section: Introductionmentioning

confidence: 99%

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Suprapubic Liposuction With a Modified Devine’s Technique for Buried Penis Release in Adults

et al. 2020

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Background: With the increasing prevalence of overweight and obesity, adult-acquired buried penis is more common in recent years. Many surgical techniques have been reported. However, none is the gold standard. Objective: To evaluate the safety and efficacy of combining suprapubic liposuction and modified Devine’s technique for penile lengthening in adult patients with buried penis due to obesity Methods: From September 2015 to June 2018, 26 consecutive suitable patients (mean age: 33 ± 5.7 years, mean body mass index: 29 ± 5.4 kg/m2) with a buried penis received suprapubic liposuction and modified Devine’s technique for penis release in our medical centre. A retrospective study was conducted. Their penile length from tip to the skin (flaccid) was measured pre- and post-operatively. The amount of liposuction was also recorded accordingly. Results: The mean length of the follow-up on the 26 patients is 18 ± 7.1 months (range 3-33 months). The average amount of liposuction is 450 ± 90.2 mL. The average penile length measured preoperatively, post-operatively (on table), and 3 months after the operation is 2.9 ± 1.3, 7.4 ± 2.1, and 5.3 ± 1.8 cm, respectively. The post-operative penile length had significantly increased by 4.5 ± 1.6 cm (on table) and 2.4 ± 0.7 cm (3 months post-operation) with a P value <.05. No patient had difficulties in sexual intercourse or urination post-operatively. None of the patients were dissatisfied with their surgical outcomes. Conclusions: The combination of suprapubic liposuction and modified Devine’s technique is a safe and effective method for releasing the buried penis of adults with satisfying outcomes.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Suprapubic Liposuction With a Modified Devine’s Technique for Buried Penis Release in Adults

et al. 2020

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“…34 In these cases infrapubic liposuction can be very successful, with low associated morbidity or complications. 35…”

Section: Suprapubic Lipectomy/ Liposuctionmentioning

confidence: 99%

Penile lengthening and the treatment options available

Kwok

Parnham

Lucky

2019

Trends Urol & Men's Health

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“…[3] Buna karşın, erişkin gömük penis tedavisinde temelde farklı etiyolojik durumlara yönelik çok sayıda cerrahi teknik tanımlanmış olsa da [2,[4][5][6][7] gömük penis tedavisi için genel kabul görmüş standart bir yaklaşım bulunmamaktadır.…”

Section: [2]unclassified

Erişkin gömük penis rekonstrüksiyonunda yeni suprapubik insizyon tekniği

Yılmaz¹,

Üstüner²,

Yüksekkaya³

et al. 2017

Androl Bul

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GİRİŞGömük penis, normal korporal yapısı ile normal uzunluğu olan penisin suprapubik yağ içinde gizli kalmasına denir. Gömük penis, sıklıkla pediatrik yaş grubunda görülen bir durum olmasına rağmen, özellikle obezite ile ilişkili olarak erişkin yaşlarda da görülebilmektedir. Erişkin hastaların büyük çoğunluğu obez olsa da, kilo verilmesi ile, özellikle suprapubik pannus nedeniyle sorun devam etmektedir.[1] ABSTRACT OBJECTIVE: We present a novel suprapubic incision technique to obtain amore esthetical and longer penis appearance in adult patients with complaining buried penis. MATERIAL AND METHODS:We retrospectively evaluated medical records of 19 patients who underwent reconstruction of adult buried penis in our clinic between 2013 and 2016. All procedures began with a 8 cm transvers downward crescent incision 2 cm above the penoscrotal junction. After removing all adipose tissue among skin, rectus fascia, and penile root (suprapubic lipectomy), the lateral tips of the incision are fixed in the midline from their subdermis to rectus fascia. Thus, the transvers incision is broughtto vertical plan. The tips of the new vertical incision are extracted like an open triangle to obtain a more esthetical wound suturation. After suturation, a ventral "Z plasty" incision is applied to penoscrotal junction to prevent the dorsal growing penile length. RESULTS:The median patient age was 31 (20-67). As regarding the weight of the patients, five had normal weight, nine patients were over weight, five patients were obese. None of the patients had morbide obesity. The median body mass index was 24.7 (21.8-34.2) kg/m2. The mean operation time was 65±25 min. The median increase in penile length was 2.3(1.3-3.6) cm (p <0.05). Postoperative wound infection occured in four patients (Clavien Grade 1). CONCLUSION:The current incision technique is a simple, safe and successful procedure with minor complications, and obtains an acceptable and significant increase in penile length.Keywords: buried penis, obesity, penile lenght ÖZ AMAÇ: Çalışmamızda, erişkin gömük penis hastalarında suprapubik lipektomi sonrası penisin daha uzun ve estetik görünmesi için uyguladığı-mız suprapubik insizyon tekniğini değerlendirmeyi amaçladık. GEREÇ VE YÖNTEM:Kliniğimizde 2013-2016 yılları arasında, suprapubik yağlanma nedeniyle fonksiyonel penis boyunun kısaldığını düşünen 19 hastanın verileri geriye dönük değerlendirildi. Penopubik bileşkenin yaklaşık 2 cm üstünden ters hilal şeklinde 8 cm'lik transvers cilt insizyonu yapıldıktan sonra, penis kökü, rektus fasyası ve cilt arasındaki tüm adipoz dokular eksize edildi (suprapubik lipektomi). Ardından, insizyonun lateral uçları subdermislerinden orta hatta rektus fasyasına 2/0 emilebilir poliglaktin sütürler ile sabitlendi. Böylece transvers insizyon vertikal plana getirilmiş oldu. Vertikal planda alt ve üst uçta oluşan cilt kulakçıkları açık üçgen şeklinde eksize edilerek, insizyonun estetik görünümün sağlanması amaçlandı. Daha sonra insizyon kapatıldı. Suprapubik lipektomi ile elde edilen penis uzunluğunun ko...

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Infrapubic Liposuction for Penile Length Augmentation in Patients with Infrapubic Adiposities

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Cited by 16 publications

References 12 publications

Suprapubic Liposuction With a Modified Devine’s Technique for Buried Penis Release in Adults

Suprapubic Liposuction With a Modified Devine’s Technique for Buried Penis Release in Adults

Penile lengthening and the treatment options available

Erişkin gömük penis rekonstrüksiyonunda yeni suprapubik insizyon tekniği

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