Suprapubic lipectomy with a "Ω" incision for buried penis in obese adult men.
- Author:
Chuan-Hua ZHONG
1
;
Wen-Ji LI
1
;
Jian-Hua GUO
1
;
Jie-Wen BAO
1
;
Kai-Lun WEN
2
;
Yue-Qing JIANG
1
;
Zhong WANG
1
Author Information
1. Department of Urology and Andrology, The Ninth People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200001, China.
2. Department of Urology, Guanyun People's Hospital, Lianyungang, Jiangsu 222000, China.
- Publication Type:Journal Article
- Keywords:
"Ω" incision;
buried penis;
obese;
prepubic fat pad;
adult
- MeSH:
Adipose Tissue;
Humans;
Lipectomy;
Male;
Obesity/surgery*;
Penis/surgery*;
Retrospective Studies
- From:
National Journal of Andrology
2021;27(10):882-885
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the application of suprapubic lipectomy with a "Ω" incision to removal of the prepubic fat pad for the management of buried penis in obese adult patients.
METHODS:We retrospectively analyzed the clinical data on 20 obese adult patients with buried penis treated by suprapubic lipectomy via a "Ω" incision between August 2016 and September 2019.
RESULTS:The operations were successfully completed in all the cases, with a mean operation time of 3.7 ± 0.6 hours and an average hospital stay of 8.3 ± 3.3 days. There were no such severe surgery-related complications as hematoma, urethral injury, or fat embolism in any of the cases. Fat liquefaction-related superficial wound infection developed in 1 patient postoperatively, which was cured by combined topical and systemic antibiotic therapy. A 3-month follow-up showed a 95% satisfaction of the patients with the postoperative appearance of the penis and suprapubic incision, but no complications such as ED, abnormal penile sensation, or penile retraction.
CONCLUSIONS:Suprapubic lipectomy with a "Ω" incision to remove the prepubic fat pad is an effective surgical approach to the management of buried penis in obese adult males, which is an anatomy-based surgical correction and has the advantages of slight injury, rapid recovery and few complications./.
