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Theisen et al. Plast Aesthet Res 2020;7:56 Plastic and
DOI: 10.20517/2347-9264.2020.83 Aesthetic Research

Review Open Access

Current techniques in adult-acquired buried penis
repair: where are we now

Katherine M. Theisen , Ashley V. Alford , Nicholas Kim , Joseph J. Pariser 1
1
1
2
1 Department of Urology, University of Minnesota, Minneapolis, MN 55455, USA.
2 Department of Plastic Surgery, University of Minnesota, Minneapolis, MN 55455, USA.
Correspondence to: Dr. Joseph J. Pariser, Department of Urology, University of Minnesota, Minneapolis, MN 55455, USA.
E-mail: jpariser@umn.edu
How to cite this article: Theisen KM, Alford AV, Kim N, Pariser JJ. Current techniques in adult acquired buried penis repair: where
are we now. Plast Aesthet Res 2020;7:56. http://dx.doi.org/10.20517/2347-9264.2020.83
Received: 16 Apr 2020 First Decision: 15 May 2020 Revised: 19 May 2020 Accepted: 19 Jun 2020 Published: 21 Oct 2020

Academic Editor: Marlon E. Buncamper, Stan J. Monstrey Copy Editor: Jing-Wen Zhang Production Editor: Jing Yu

Abstract
Adult-acquired buried penis (AABP) is a condition associated with penile entrapment, penile shaft skin loss, and
an enlarged pannus which engulfs the penis. The increased prevalence, awareness, and availability of surgical
repair have led to a relative standardization in repairs. The surgical approach to AABP has evolved from a lengthy
procedure with extended inpatient stay to one that may be done in an outpatient setting. The critical steps for
surgical management of AABP have remained largely consistent over time, including: release of the penis with
removal of diseased skin, suprapubic and/or abdominal panniculectomy, and skin coverage (usually with grafts).
In contrast, the finer points of the procedure and perioperative care have undergone evolution. The aim of our
approach was to optimize postoperative aesthetic and functional outcomes. Our perioperative management was
modeled after enhanced recovery after surgery principles to minimize morbidity and expedite recovery. There
remains room for improvement in the care of individuals with AABP, specifically multi-institutional collaboration,
development of disease-specific outcome measures, and standardization of treatment algorithms.

Keywords: Buried penis, morbidity, surgical algorithms, postoperative period, quality of life

INTRODUCTION
Individuals with adult-acquired buried penis (AABP) are increasingly seeking care due to the increasing
[1]
rates of obesity in the United States and to an increase in the number of centers that offer surgical

© The Author(s) 2020. Open Access This article is licensed under a Creative Commons Attribution 4.0
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