Postoperative Outcomes following Buried Penis Reconstruction: A Single-Institution Experience Using the Wisconsin...

Area of Science:

• Urology
• Plastic Surgery
• Reconstructive Surgery

Background:

• Adult acquired buried penis (AABP) presents complex surgical challenges.
• Effective classification systems are needed to guide AABP management.
• Identifying factors for postoperative complications and persistent symptoms is essential.

Purpose of the Study:

• To evaluate the Wisconsin Classification System (WCS) for guiding AABP surgical management.
• To identify predictors of postoperative complications and persistent symptoms after AABP repair.

Main Methods:

• Retrospective review of 52 patients undergoing AABP repair (2015-2021).
• Patients categorized using the WCS based on anatomical characteristics.
• Analysis of preoperative symptoms, postoperative symptoms, and complications.

Main Results:

• The WCS aligned with operative management in 86% of cases.
• Morbid obesity and postoperative complications correlated with persistent symptoms.
• Morbid obesity, diabetes, and concurrent panniculectomy increased complication rates.
• Type I AABP had fewer complications than types II, III, or IV.

Conclusions:

• The WCS is a valuable preoperative guide and educational tool for AABP.
• The WCS aids in discussing intraoperative strategies and complication likelihood.
• Counseling patients on AABP management and recovery optimizes outcomes.