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Outpatient Surgical Management for Acquired Buried Penis
Scott G Erpelding1, Marilyn Hopkins1, Adam Dugan2
1Department of Urology, University of Kentucky, Lexington, KY.
Urology
|October 13, 2018
Summary
Outpatient surgery for acquired buried penis (ABP) is safe and feasible. Most patients were discharged same-day or next-day, with a low complication rate, though higher BMI increased risk.
Area of Science:
- Urology
- Surgical Innovation
Background:
- Acquired buried penis (ABP) often requires surgical intervention.
- Traditional management may involve prolonged hospital stays.
Purpose of the Study:
- To evaluate the safety and feasibility of outpatient surgical management for adult ABP.
- To assess complication rates and outcomes in an ambulatory setting.
Main Methods:
- Retrospective review of 16 patients undergoing ABP repair from 2014-2017.
- Analysis of patient demographics, surgical procedures, and 30/90-day complications.
- Assessment of split thickness skin graft take and technical success.
Main Results:
- 62.5% of patients discharged same-day, 37.5% on postoperative day 1.
- Overall complication rates were 19% (30-day) and 25% (90-day), all Clavien II.
- 100% split thickness skin graft take and technical success; higher BMI was a significant risk factor for complications.
Conclusions:
- Multi-component repair of adult ABP is safe and feasible on an outpatient basis.
- Routine inpatient admission is not necessary for ABP surgical repair.
- Surgical site infections are the most common complication, occurring within 30 days.
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