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    Buried penis repair: Videos illustrate aesthetic, functional considerations


    Limited panniculectomy for adult buried penis repair



    In this video, Bryan Voelzke, MD, and colleagues demonstrate limited panniculectomy for adult buried penis repair in a 37-year-old male with Prader-Willi syndrome resulting in morbid obesity.

    Dr. Myers: Dr. Voelzke and colleagues demonstrate repair of buried penis. They very nicely emphasize the need to tack the suprapubic fat pad or “mons pannus” to the periosteum of the symphysis pubis. They also demonstrate the importance of not pulling down the peno-scrotal junction and peno-abdominal junction in order to expose the penis more. Exposing more of the penis is tempting since this is the objective of surgery, but will lead to a crevasse of very poor healing where the skin graft on the penis meets the abdomen and scrotum.

    Dr. Hotaling: Here, the authors demonstrate the optimal balance between obtaining a normal cosmetic appearance and optimizing wound healing of the skin graft.

    Bryan Voelzke, MDBryan Voelzke, MD

    Dr. Voelzke is associate professor of urology at the University of Washington, Seattle.

    Section Editor James M. Hotaling, MD, MSSection Editor James M. Hotaling, MD, MS

    Dr. Hotaling is assistant professor of surgery (urology) at the Center for Reconstructive Urology and Men's Health, University of Utah, Salt Lake City.















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