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Correction of retractile penis with subcutaneous soft silicone penile implant

Abstract

We report a novel solution for patients suffering from adult acquired retractile penis. Three patients complained of retractile penis (when standing) and/or prepubic recession. Physical examination confirmed the shaft of the penis was buried with only the glans visible. All three patients reported lower levels of self-confidence, self-esteem, and sexual confidence prior to their procedure. The three patients received surgical treatment with the insertion of a subcutaneous soft silicone penile implant and two of the three also received removal of the suprapubic fat pad. Over one year post operatively, the penile shaft and glans was visible and appeared natural. All patients reported an increase in self-confidence and self-esteem. The insertion of a subcutaneous soft silicone penile implant may prove to be a viable solution to reverse retractile penis and to increase patient quality of life when compared to more invasive current surgical treatments.

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References

  1. Bilommi R. Hidden penis in children: evaluation of outcomes and review of the literature. Med Surg Urol. 2015;4:4.

    Article  Google Scholar 

  2. Pariser J, Soto-Aviles O, Miller B, Husainat M, Santucci R. A simplified adult acquired buried penis repair classification system with an analysis of perioperative complications and urethral stricture disease. J Urol. 2018;120:248–52.

    Article  Google Scholar 

  3. Higuchi T, Yamaguchi Y, Wood H, Angermeier K. Evaluation and treatment of adult concealed penis. Curr Urol Rep. 2012;13:277–84.

    Article  Google Scholar 

  4. Zenaty D, Dijoud F, Morel Y, Cabrol S, Mouriquand P, Nicolino M, et al. Bilateral anorchia in infancy: Occurence of micropenis and the effect of testosterone treatment. J Pediatr. 2006;149:687–91.

    Article  CAS  Google Scholar 

  5. Pestana I, Greenfield J, Walsh M, Donatucci C, Erdmann D. Management of “buried” penis in adulthood: an overview. Plast Reconstr Surg. 2009;124:1186–95.

    Article  CAS  Google Scholar 

  6. Donatucci C, Ritter E. Management of the buried penis in adults. J Urol. 1998;159:420–4.

    Article  CAS  Google Scholar 

  7. Imes C, Burke L. The obesity epidemic: the USA as a cautionary tale for the rest of the world. Curr Epidemiol Rep. 2014;1:82–88.

    Article  Google Scholar 

  8. Voznesensky M, Lawrence W, Keith J, Erickson B. Patient-reported social, psychological, and urologic outcomes after adult buried penis repair. J Urol. 2017;103:240–4.

    Article  Google Scholar 

  9. Alter G. Pubic contouring after massive weight loss in men and women. Plast Reconstr Surg. 2012;130:936–47.

    Article  CAS  Google Scholar 

  10. Fuller TW, Theisen K, Rusilko P. Surgical management of adult acquired buried penis: escutcheonectomy, scrotectomy, and penile split-thickness skin graft. J Urol. 2017;108:237–8.

    Article  Google Scholar 

  11. Lim D, Barraza M, Stevens P. Correction of retractile concealed penis. J Urol. 1995;153:1668–70. https://www.sciencedirect.com/science/article/abs/pii/S0022534701675001

  12. Elist J, Valenzuela R, Hillelsohn J, Feng T, Hosseini A. A single-surgeon retrospective and preliminary evaluation of the safety and effectiveness of the penuma silicone sleeve implant for elective cosmetic correction of the flaccid penis. J Sex Med. 2018;15:1216–23.

    Article  Google Scholar 

  13. Elist JJ, Shirvanian V, Lemperle G. Surgical treatment of penile deformity due to curvature using a subcutaneous soft silicone implant: case report. Open J Urol. 2014;04:91–97.

    Article  Google Scholar 

  14. Elist J. The Penuma® Silicone Implant: a new implantable device improving penile appearance and adding addition girth and length of the penis outside the body. Video J Prosthet Urol. 2018;2:119.

    Google Scholar 

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Funding

The study was funded by IMD, Inc.

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Correspondence to James J. Elist.

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SW is a paid consultant for AMT, Boston Scientific, Coloplast, IMD, Implantica, Sontec and Uramix. JE is the Chairman of IMD, Inc, which is the manufacturer of the Penuma silicone implant. The remaining authors declare that they have no conflict of interest.

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Elist, J.J., Baniqued, M., Hosseini, A. et al. Correction of retractile penis with subcutaneous soft silicone penile implant. Int J Impot Res 32, 317–322 (2020). https://doi.org/10.1038/s41443-019-0174-3

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