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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Bilommi R. Hidden penis in children: evaluation of outcomes and review of the literature. Med Surg Urol. 2015;4:4.
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.
Higuchi T, Yamaguchi Y, Wood H, Angermeier K. Evaluation and treatment of adult concealed penis. Curr Urol Rep. 2012;13:277–84.
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.
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.
Donatucci C, Ritter E. Management of the buried penis in adults. J Urol. 1998;159:420–4.
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.
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.
Alter G. Pubic contouring after massive weight loss in men and women. Plast Reconstr Surg. 2012;130:936–47.
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.
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
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.
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.
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.
The study was funded by IMD, Inc.
Conflict of interest
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.
Publisher’s note: Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
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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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