Simultaneous Suprapubic Lipectomy and Penile Prosthesis Implantation.
Osama Shaeer1, Kamal Shaeer1, Islam Fathi AbdelRahman1
1Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Egypt; Kamal Shaeer Hospital, Cairo, Egypt.
The Journal of Sexual Medicine
|December 12, 2018
Summary
Simultaneous suprapubic lipectomy and penile prosthesis implantation (SPL-PPI) significantly improves patient and partner satisfaction with penile length. This combined procedure is safe and effective for concealed penis cases.
Area of Science:
- Urology
- Plastic Surgery
- Sexual Medicine
Background:
- A redundant suprapubic fat pad can conceal the penis after penile prosthesis implantation (PPI), potentially reducing patient and partner satisfaction with length.
- Addressing this anatomical challenge is crucial for optimizing outcomes after PPI.
Purpose of the Study:
- To evaluate the feasibility and outcomes of performing PPI and suprapubic lipectomy (SPL) in the same session and through the same incision.
Main Methods:
- Twenty-two patients underwent simultaneous SPL and PPI via an abdominal crease incision.
- Penile implants (16 semirigid, 6 inflatable) were placed after SPL, with closure of Scarpa's fascia, subcutaneous fat, and the skin incision.
Main Results:
- No surgical complications (infections, extrusions, mechanical failures) were observed.
- Patient satisfaction with penile length increased by 53.3% (preoperative 2.55 to postoperative 4.77), and partner satisfaction increased by 40.2% (preoperative 1.77 to postoperative 4.41).
- Nineteen patients reported increased penile length postoperatively compared to their pre-erectile dysfunction (ED) recall.
Conclusions:
- Simultaneous suprapubic lipectomy and penile prosthesis implantation (SPL-PPI) is a safe and effective procedure.
- This combined approach significantly enhances patient and partner satisfaction with penile length in cases of concealed penis due to suprapubic fat.
- SPL-PPI offers a valuable option for patients with refractory ED and a concealed penis seeking improved length outcomes.
Keywords:
LiposuctionPenile EnhancementPenile ImplantPenile LengthPenile ProsthesisSuprapubic LipectomyMore Related Videos
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