Penile Advancement and Lengthening for the Management of Post-circumcision Traumatic Short Penis in Adolescents

Mokhless, Ibrahim; Abdeldaeim, Hussein M.; Rahman, Ashraf Farrag; Zahran, Mohamed; Safwat, Amr

doi:10.1016/j.urology.2010.06.018

Cited by 13 publications

(7 citation statements)

References 18 publications

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“…Genital skin loss occurs secondary to various processes such as Fournier's gangrene, trauma, and burns [ 3 4 7 ]. Furthermore reconstruction may be desired for genital lymphedema or after surgical resection of malignancies such as penile carcinoma [ 4 37 ].…”

Section: Genital Skin Reconstructionmentioning

confidence: 99%

“…The two major areas in urology requiring tissue transfer techniques are in addressing genital skin defects and urethral strictures. Other processes that may require tissue transfer include hypospadias, buried penis, lymphedema, genital trauma, and soft tissue infections [ 3 4 5 6 7 8 ]. Furthermore, tissue transfer techniques are now being applied to other areas of urologic reconstruction, such as in ureteral reconstruction.…”

Section: Introductionmentioning

confidence: 99%

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Tissue transfer techniques in reconstructive urology

2015

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Tissue transfer techniques are an essential part of the reconstructive urologist's armamentarium. Flaps and graft techniques are widely used in genital and urethral reconstruction. A graft is tissue that is moved from a donor site to a recipient site without its native blood supply. The main types of grafts used in urology are full thickness grafts, split thickness skin grafts and buccal mucosa grafts. Flaps are transferred from the donor site to the recipient site on a pedicle containing its native blood supply. Flaps can be classified based on blood supply, elevation methods or the method of transfer. The most used flaps in urology include penile, preputial, and scrotal skin. We review the various techniques used in reconstructive urology and the outcomes of these techniques.

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Section: Genital Skin Reconstructionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Tissue transfer techniques in reconstructive urology

2015

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“…Of the 18 patients enrolled in a subset of this study which directly measured penile length, flaccid SPL increased 2.4 cm (range, 1.4–3.2 cm) and erect penile length increased 1.7 cm (range, 1.1–2.3 cm) ( 58 ). As the primary post-operative concern with this procedure is suspensory ligament reattachment causing contracture, surgical techniques that may prevent this are an ongoing area of discovery in the literature ( 59 , 60 ).…”

Section: Adjuvant Therapies To Increase Penile Lengthmentioning

confidence: 99%

Lengthening strategies for Peyronie’s disease

Gaffney

Pagano

Weinberg

et al. 2016

Transl. Androl. Urol.

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Loss of penile length is a common complaint of men with Peyronie’s disease (PD), both before and after corrective intervention, which has a significant negative effect on patient quality of life. We sought to identify and describe the methods by which penile length can be preserved or increased. We conducted an extensive, systematic literature review, based on a search of the PUBMED database for articles published between 1990 and 2015. Articles with the key words “Peyronie’s disease”, “penile length” and/or “penile lengthening” were reviewed if they contained subjective or objective penile length outcomes. Only English-language articles that were related to PD and penile size were included. We found no evidence in the literature that medical therapy alone increases penile length. Classic inflatable penile prosthesis (IPP) placement, plication procedures, and the Nesbit procedure appear likely to maintain or decrease penile length. Plaque incision (PI) and grafting appears likely to maintain or increase penile length, but is complicated by risk of post-operative erectile dysfunction (ED). There are several surgical procedures performed concomitantly with IPP placement that may be suitable treatment options for men with comorbid ED, and consistently increase penile length with otherwise good outcomes concerning sexual function. These include the subcoronal penile prosthesis (scIPP), Egydio circumferential technique, the sliding technique, the modified sliding technique (MoST), and the multiple slice technique (MuST). In addition, adjuvant therapies such as penile traction therapy (PTT), post-operative inflation protocols, suspensory ligament relaxation, lipectomy, and adjuvant medical therapy for glans engorgement appear to increase subjective and/or objective penile length for men at high risk of decreased penile length after PD surgery. Considering the psychological burden of length loss in men with PD, providers with adequate volume and expertise should attempt, if possible, to maintain or increase penile length for men undergoing surgical intervention. There are several evidence-based, safe, and effective ways to increase penile length for these men and multiple emerging adjuvant therapies that may help ensure adequate length.

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“…123 Although liposuction may not be the ideal lipectomy procedure in certain pathologic conditions requiring pubic and penoscrotal tacking or sectioning of the tethering dartos bands that are all better achieved with open lipectomy, suction lipectomy of the suprapubic area particularly in obese adults can invariably increase the visible length of the penis. 120,121 In the female patient, liposuction of the mons pubis may be all that is necessary, but skin excision and tacking may be indicated if the patient has significant mons ptosis. Additional labia majora reduction is usually performed only if the patient complains of excessive size.…”

Section: Genital Area and Sexual Dysfunctionmentioning

confidence: 99%

Functional and Therapeutic Indications of Liposuction

Atiyeh¹,

Costagliola²,

Illouz³

et al. 2015

Annals of Plastic Surgery

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Liposuction is the most common cosmetic surgical procedure worldwide. It has evolved from being designed primarily for body contouring to becoming essential adjunct to various other aesthetic procedures, greatly enhancing their outcome. Despite its hard clear differentiation between an aesthetic and therapeutic indication for some pathologic conditions, liposuction has been increasingly applied to a gamut of disorders as a therapeutic tool or to improve function. In fact, liposuction has ceased to define a specific procedure and became synonymous to a surgical technique or tool same as the surgical knife, laser, electrocautery, suture material, or even wound-dressing products. At present, there seems to be an enormous potential for the application of the basic liposuction technique in ablative and reconstructive surgery outside the realm of purely aesthetic procedures. The present review contemplates the various nonaesthetic applications of liposuction, displaying the enormous potentials of what should be considered a basic surgical technique rather than a specific aesthetic procedure. Implications of this new definition of liposuction should induce third-party public payers and insurance companies to reconsider their remuneration and reimbursement policies.

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Penile Advancement and Lengthening for the Management of Post-circumcision Traumatic Short Penis in Adolescents

Cited by 13 publications

References 18 publications

Tissue transfer techniques in reconstructive urology

Tissue transfer techniques in reconstructive urology

Lengthening strategies for Peyronie’s disease

Functional and Therapeutic Indications of Liposuction

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