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Genital Reconstruction After Weight Loss in Adipose Male Patients: A Case report
Daniel Robert Arno Sattler1, Silke Altmann1, Manfred Infanger1
1Department for Plastic, Aesthetic and Handsurgery, University Hospital Magdeburg, Magdeburg, Germany.
Objective:
We introduce our surgical technique in two male genital reconstruction cases out of 15 post-bariatric patients.
Methods:
At our Department for Plastic Surgery at the University Hospital Magdeburg, 15 patients, 6 male and 9 female, underwent a surgical abdominoplasty after weight loss in 2009.
Results:
The average weight of the 15 patients was preoperatively 197.2 kg and the average hospital stay was of 14 days. In 2 cases, a second procedure for male genital reconstruction was necessary. After primary dietary measures and weight loss, we performed genital reconstruction in a second step with a sleeve-, Z-, VY-plasty and a "bilobed flap" to restore function and appearance of the male genitalia. In these patients, the average weight was 207.5 kg and hospital stay lasted 32 days.
Conclusion:
The increase of patients with obesity-related genital deformities will be expected in the future. Therefore, more controlled long-term studies should be published to develop guidelines for genital reconstruction techniques in plastic surgery.
