{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T20:37:46Z","timestamp":1780605466275,"version":"3.54.1"},"reference-count":9,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,5,4]],"date-time":"2018-05-04T00:00:00Z","timestamp":1525392000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["bjui-journals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJU International"],"published-print":{"date-parts":[[2018,10]]},"abstract":"\n Objectives<\/jats:title>\n To describe our buried penis repair technique that includes penile release, tissue resection, wound closure, and penile reconstruction.<\/jats:p>\n <\/jats:sec>\n \n Patients and Methods<\/jats:title>\n \n In all, 73 patients were treated from 2007 to 2017. Patients can be categorised into five stages: Stage I, involves only a phimotic band; Stage 2, required excision of diseased penile skin with split\u2010thickness skin grafting (\n STSG<\/jats:styled-content>\n ); Stage 3, requires scrotal excision; Stage 4, requires escutcheonectomy; and Stage 5, requires panniculectomy. Successful treatment hinges on adequate excision of diseased skin and de\u2010bulking followed by replacement of deficient skin with\n STSG<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n In all, 36 of 73 (49%) patients had Stage 1\u20133 disease, whilst 37 of 73 (51%) were Stage 4\u20135. There were complications within the first 30 days in 44 of 73 (60%) patients. In all, 62 of 73 (85%) patients either had no complications or Clavien\u2013Dindo grade I\u2013\n II<\/jats:styled-content>\n complications and nine (12%) had complications beyond 30 days. Only five of 36 (14%) patients with Stage 1\u20133 disease had complications. One patient developed recurrent phimosis.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n The buried penis is a challenging surgical entity where conservative treatment will most likely lead to failure. Surgery is the only means for a lasting cure in these patients and should be used as a first\u2010line treatment. One should expect complications postoperatively, especially within the first 30 days; however, these are mostly limited to Clavien\u2013Dindo grade I\u2013\n II<\/jats:styled-content>\n complications.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/bju.14230","type":"journal-article","created":{"date-parts":[[2018,4,9]],"date-time":"2018-04-09T16:25:19Z","timestamp":1523291119000},"page":"713-715","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Contemporary management of adult\u2010acquired buried penis"],"prefix":"10.1111","volume":"122","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5497-3209","authenticated-orcid":false,"given":"Min S.","family":"Jun","sequence":"first","affiliation":[{"name":"Urology Detroit Medical Center Detroit MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maxx A.","family":"Gallegos","sequence":"additional","affiliation":[{"name":"Urology Detroit Medical Center Detroit MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard A.","family":"Santucci","sequence":"additional","affiliation":[{"name":"Urology Detroit Medical Center Detroit MI USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,5,4]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"WHO.Obesity and Overweight Fact sheet. Available at:http:\/\/www.who.int\/mediacentre\/factsheets\/fs311\/en\/. 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