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The outcomes of surgical management options for adult acquired buried penis

International Journal of Impotence Research volume 35, pages 712–719 (2023)Cite this article

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A Correction to this article was published on 30 December 2022

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Abstract

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.

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Fig. 1: Surgical techniques.
Fig. 2
Fig. 3: Clinical presentation report divided by groups of treatment.
Fig. 4: Kaplan–Meier curve estimates survival over time.

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Additional data are available from the corresponding author on reasonable request.

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Authors and Affiliations

  1. Neurourology Clinic - A.O.U. “Città della Salute e della Scienza” - Unità Spinale Unipolare, Turin, Italy

    Marco Falcone

  2. Urology Clinic - A.O.U. “Città della Salute e della Scienza” – Molinette Hospital, University of Turin, Turin, Italy

    Marco Falcone, Mirko Preto, Massimiliano Timpano, Marco Oderda, Natalia Plamadeala, Lorenzo Cirigliano, Federica Peretti, Ilaria Ferro & Paolo Gontero

  3. Department of Surgery, School of Clinical Sciences, Monash University, Melbourne, VIC, Australia

    Gideon Blecher

  4. Department of Urology, The Alfred Hospital, Melbourne, VIC, Australia

    Gideon Blecher

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Contributions

Conceptualization, Methodology, Software: MF, MP. Data Curation: MT, NP, FP, IF. Writing, Original draft preparation: MP, LC, NP. Visualization, Investigation: FP, IF, NP. Supervision: MO, PG, MF. Writing, reviewing and Editing: MF, MP, NP, GB.

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Correspondence to Marco Falcone.

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The authors declare no competing interests.

Ethics approval and consent to participate

The study was performed in accordance with the Declaration of Helsinki and was approved by the local ethics committee of A.O.U. Città della salute e della scienza di Torino (Protocol Number 601.453, approved in May 2021). A written informed consent was obtained from all subjects enrolled in the present study.

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The original online version of this article was revised: In this article, the given and family names of Marco Falcone, Mirko Preto, Massimiliano Timpano, Marco Oderda, Natalia Plamadeala, Lorenzo Cirigliano, Federica Peretti, Ilaria Ferro, and Paolo Gontero were incorrectly structured. The original article has been corrected.

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Falcone, M., Preto, M., Timpano, M. et al. The outcomes of surgical management options for adult acquired buried penis. Int J Impot Res 35, 712–719 (2023). https://doi.org/10.1038/s41443-022-00642-9

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