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    Buried penis repair: Videos illustrate aesthetic, functional considerations

     

    Buried penis repair: Removal of suprapubic fat pad and split thickness skin graft

     

     

    This video from Jeremy B. Myers, MD, demonstrates repair of buried penis in super-morbid obese men. The technique involves resection of the suprapubic fat pad entirely with reconstruction of lateral groin. Scrotectomy and reconstruction of the peno-scrotal and peno-abdominal junction is also shown.

    Dr. Myers: Here, we demonstrate repair of buried penis in super-morbid obese men. The technique involves resection of the suprapubic fat pad entirely with reconstruction of lateral groin. Scrotectomy and reconstruction of the peno-scrotal and peno-abdominal junction is also shown. The penile skin graft is taken from the resected suprapubic fat pad. We emphasize the type of body habitus, which is amenable to this repair and those patients that have a body habitus that need to be treated with a full abdominoplasty. Common wound complications are noted in one of the patients, and his healing is tracked over 2 months.

    Dr. Hotaling: Here, Dr. Myers ablates the entire suprapubic fat pad with reconstruction from the lateral groin. This approach also includes a scrotectomy with reconfiguration of the peno-scrotal and peno-abdominal junction. Similar to Dr. Dugi and colleagues, Dr. Myers uses the resected suprapubic fat pad to harvest the skin graft. He also covers optimal patient selection for this approach, which is perhaps the most important component of a successful outcome in this patient population. Finally, the video covers common wound complications and their management, which are a common, if not inevitable component of this surgery.

    Jeremy B. Myers, MDJeremy B. Myers, MD

    Dr. Myers is an associate professor in the division of urology at the University of Utah, Salt Lake City. He is co-director of the reconstructive urology center as well as the clinical fellowship in genitourinary injury and reconstructive urology.

     

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