Surgical Management of the Concealed Penis in Adults

Surgical Management of the Concealed Penis in Adults Purpose of Review The concealed penis in adults is a relative- be highly challenging and complex. However, excellent out- ly rare indication for surgical treatment; however, it represents comes can be obtained through a careful and thorough work- a complex disease spectrum requiring thoughtful, systematic up, the use of a systematic surgical approach with respect for management. Here, we review the fundamental principles un- regional anatomy and careful attention to key principles, and derlying a successful repair and highlight recent surgical tech- multi-disciplinary collaboration. niques and pathways. . . Recent Findings In evaluated patients with adult concealed Keywords Concealed penis Buried penis Penile penis, clinicians should be aware of the association of this reconstruction condition with urethral stricture, carcinoma of the penis, and angiosarcoma in the setting of lymphedema. It may not be possible to complete this evaluation prior to operative explo- Introduction ration, although adjunctive studies such as MRI can be help- ful. In addition, surgical reconstruction may involve urologist The adult concealed penis is an uncommon urologic condition and plastic surgeons. All successful repairs involve the key but one which can have significant effects on quality of life steps of excising scar tissue and abnormal skin, freeing http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Current Sexual Health Reports Springer Journals

Surgical Management of the Concealed Penis in Adults

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Publisher
Springer US
Copyright
Copyright © 2017 by Springer Science+Business Media, LLC
Subject
Medicine & Public Health; Urology; Endocrinology
ISSN
1548-3584
eISSN
1548-3592
D.O.I.
10.1007/s11930-017-0138-x
Publisher site
See Article on Publisher Site

Abstract

Purpose of Review The concealed penis in adults is a relative- be highly challenging and complex. However, excellent out- ly rare indication for surgical treatment; however, it represents comes can be obtained through a careful and thorough work- a complex disease spectrum requiring thoughtful, systematic up, the use of a systematic surgical approach with respect for management. Here, we review the fundamental principles un- regional anatomy and careful attention to key principles, and derlying a successful repair and highlight recent surgical tech- multi-disciplinary collaboration. niques and pathways. . . Recent Findings In evaluated patients with adult concealed Keywords Concealed penis Buried penis Penile penis, clinicians should be aware of the association of this reconstruction condition with urethral stricture, carcinoma of the penis, and angiosarcoma in the setting of lymphedema. It may not be possible to complete this evaluation prior to operative explo- Introduction ration, although adjunctive studies such as MRI can be help- ful. In addition, surgical reconstruction may involve urologist The adult concealed penis is an uncommon urologic condition and plastic surgeons. All successful repairs involve the key but one which can have significant effects on quality of life steps of excising scar tissue and abnormal skin, freeing

Journal

Current Sexual Health ReportsSpringer Journals

Published: Oct 26, 2017

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