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OBJECTIVE: We present a novel suprapubic incision technique to obtain amore esthetical and longer penis appearance in adult patients with complaining buried penis. MATERIAL AND METHODS: We retrospectively evaluated medical records of 19 patients who underwent reconstruction of adult buried penis in our clinic between 2013 and 2016. All procedures began with a 8 cm transvers downward crescent incision 2 cm above the penoscrotal junction. After removing all adipose tissue among skin, rectus fascia, and penile root (suprapubic lipectomy), the lateral tips of the incision are fixed in the midline from their subdermis to rectus fascia. Thus, the transvers incision is broughtto vertical plan. The tips of the new vertical incision are extracted like an open triangle to obtain a more esthetical wound suturation. After suturation, a ventral “Z plasty” incision is applied to penoscrotal junction to prevent the dorsal growing penile length. RESULTS: The median patient age was 31 (20–67). As regarding the weight of the patients, five had normal weight, nine patients were over weight, five patients were obese. None of the patients had morbide obesity. The median body mass index was 24.7 (21.8–34.2) kg/m2. The mean operation time was 65±25 min. The median increase in penile length was 2.3(1.3–3.6) cm (p <0.05). Postoperative wound infection occured in four patients (Clavien Grade 1). CONCLUSION: The current incision technique is a simple, safe and successful procedure with minor complications, and obtains an acceptable and significant increase in penile length.

Erişkin gömük penis rekonstrüksiyonunda yeni suprapubik insizyon tekniği