{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T20:07:30Z","timestamp":1786997250178,"version":"build-2736575974"},"reference-count":39,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2019,5,14]],"date-time":"2019-05-14T00:00:00Z","timestamp":1557792000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"},{"start":{"date-parts":[[2019,5,14]],"date-time":"2019-05-14T00:00:00Z","timestamp":1557792000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2020,1,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Acquired buried penis (ABP) is a urologic condition that has significant morbidity and negative effect on quality of life, including but not limited to sexual function, hygiene, micturition, and self-image. This disease process is characterized by a wide degree of variability and severity that requires a patient-specific approach and significant flexibility on the surgeon\u2019s behalf.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To review and present the current evaluation and surgical management of this rare and complex patient population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A structured review of the English language literature from 1970 to June 2018 was performed using the PubMed and MEDLINE medical databases. Queried terms included \u201cburied penis,\u201d \u201cconcealed penis,\u201d \u201chidden penis,\u201d \u201cadult buried penis,\u201d \u201ccicatricial penis,\u201d \u201ctrapped penis,\u201d \u201cinconspicuous penis,\u201d \u201cscrotoplasty and obesity,\u201d \u201cpenile release,\u201d \u201cpenile skin graft,\u201d \u201cpenile reconstruction,\u201d and \u201cpubic lift.\u201d Papers were individually reviewed for their utility and applicability to the management of adult ABP. Manuscripts focusing on pediatric patients were excluded.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Outcome Measure<\/jats:title>\n                    <jats:p>Current surgical management options for adult ABP are heterogenous but focus on preserving shaft length while improving cosmesis and voiding function.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Surgical versatility remains critical for successful outcomes. However, recent advances in surgical techniques for correction of adult ABP focus on the use of skin grafting to cover the shaft, along with lipectomy and\/or scrotoplasty to further aid penile exposure. Collaboration with multiple surgical services is often required to achieve optimal outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ABP is a complex urologic condition with equally complex surgical treatment options. Care must be taken when planning a surgical intervention, and support from plastic or general surgery may be required. However, with careful selection, surgical correction frequently leads to significant improvement in function and quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.sxmr.2019.02.008","type":"journal-article","created":{"date-parts":[[2019,5,14]],"date-time":"2019-05-14T17:57:05Z","timestamp":1557856625000},"page":"150-157","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":26,"title":["Acquired Buried Penis in Adults: A Review of Surgical Management"],"prefix":"10.1093","volume":"8","author":[{"given":"Luriel I.","family":"Smith-Harrison","sequence":"first","affiliation":[{"name":"Department of Urology, Medical College of Wisconsin , Milwaukee , USA"},{"name":"Division of Urology, VCU Medical Center , Richmond , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Piotrowski","sequence":"additional","affiliation":[{"name":"Department of Urology, Medical College of Wisconsin , Milwaukee , USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. 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