{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T19:19:02Z","timestamp":1787167142350,"version":"build-2736575974"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2014,4,1]],"date-time":"2014-04-01T00:00:00Z","timestamp":1396310400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,4,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Management of adult acquired buried penis is a troublesome situation for both patient and surgeon. The buried penis has been associated with significant erectile and voiding dysfunction, depression, and overall poor quality of life (QOL).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To identify outcomes following reconstructive surgery with release of buried penis, escutcheonectomy, and circumcision with or without skin grafting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively identified 11 patients treated by a single surgeon between 2007 and 2011, patient ages were 44\u201369; complete data review was available on all 11.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Outcome Measures<\/jats:title>\n                    <jats:p>Validated European Organisation for Research and Treatment of Cancer 15 QOL, Center for Epidemiologic Studies Depression Scale (CES-D), and International Index of Erectile Function (IIEF) surveys assessed patient QOL, depression, and erectile function pre- and postoperatively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Mean body mass index (BMI) was 48.8 (42.4\u201364.6). Mean operative time was 191 minutes (139\u2013272). Mean length of stay was 2.1 days. Ten of 11 patients required phallic skin grafting. There was one perioperative complication resulting in respiratory failure and overnight stay in the intensive care unit. Wound complications were seen in 2\/11 patients, and 1 needed surgical debridement for superficial wound infection. Skin graft take was seen in 100% of the patients. Ninety-one percent of patients noted significant improvement in voiding postoperatively. Ninety-one percent of patients reported significant erectile dysfunction preoperatively. Subsequently, IIEF scores improved post surgery by an average of 7.7 points. Clinical depression was noted to be present in 7\/11 patients preoperatively and 2\/11 postoperatively based on CES-D surveys. QOL improved significantly in 10\/11 compared with preoperative baseline; however, many patients noted significant difficulties based on their weight and other comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Management of adult acquired buried penis is a challenging, yet correctable problem. In our series it appears that by using established surgical techniques we were able to achieve significant improvements in erectile function, QOL, and measures of depression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jsm.12417","type":"journal-article","created":{"date-parts":[[2014,2,26]],"date-time":"2014-02-26T04:08:39Z","timestamp":1393387719000},"page":"1086-1091","source":"Crossref","is-referenced-by-count":52,"title":["Single Center Outcomes after Reconstructive Surgical Correction of Adult Acquired Buried Penis: Measurements of Erectile Function, Depression, and Quality of Life"],"prefix":"10.1093","volume":"11","author":[{"given":"James","family":"Rybak","sequence":"first","affiliation":[{"name":"Department of Urology \u00a0 , Chicago, IL , Italy"},{"name":"Rush University Medical Center \u00a0 , Chicago, IL , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Larsen","sequence":"additional","affiliation":[{"name":"Department of Urology \u00a0 , Chicago, IL , Italy"},{"name":"Rush University Medical Center \u00a0 , Chicago, IL , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Urology \u00a0 , Chicago, IL , Italy"},{"name":"Rush University Medical Center \u00a0 , Chicago, IL , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laurence A.","family":"Levine","sequence":"additional","affiliation":[{"name":"Department of Urology \u00a0 , Chicago, IL , Italy"},{"name":"Rush University Medical Center \u00a0 , Chicago, IL , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2014,4,1]]},"reference":[{"key":"2024032602352297200_bib1","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1097\/00000637-200211000-00017","article-title":"Surgical management f acquired (cicatricial) buried penis in an adult patient","volume":"49","author":"Chopra","year":"2002","journal-title":"Ann Plast Surg"},{"key":"2024032602352297200_bib2","doi-asserted-by":"crossref","first-page":"268","DOI":"10.1016\/S0022-5347(17)44837-3","article-title":"Surgical correction of the buried penis: Description of a classification system and a technique to correct the disorder","volume":"136","author":"Maizels","year":"1986","journal-title":"J Urol"},{"key":"2024032602352297200_bib3","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/S0022-3468(84)80344-9","article-title":"Penoplasty for buried penis secondary to \u201cradical\u201d circumcision","volume":"19","author":"Radhakrishnan","year":"1984","journal-title":"J Pediatr Surg"},{"key":"2024032602352297200_bib4","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1093\/oxfordjournals.aje.a112455","article-title":"Assessing depressive symptoms in five psychiatric populations: A validation study","volume":"106","author":"Weissman","year":"1977","journal-title":"Am J Epidemiol"},{"key":"2024032602352297200_bib5","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.ejca.2005.06.022","article-title":"The development of the EORTC QLQ-C15-PAL: A shortened questionnaire for cancer patients in palliative care","volume":"42","author":"Groenvold","year":"2006","journal-title":"Eur J Cancer"},{"key":"2024032602352297200_bib6","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1016\/S0090-4295(97)00238-0","article-title":"The international index of erectile function (IIEF): A multidimensional scale for assessment of erectile dysfunction","volume":"49","author":"Rosen","year":"1997","journal-title":"Urology"},{"key":"2024032602352297200_bib7","doi-asserted-by":"crossref","first-page":"939","DOI":"10.1111\/j.1743-6109.2006.00298.x","article-title":"Surgical techniques: Surgery to correct hidden penis","volume":"3","author":"Alter","year":"2006","journal-title":"J Sex Med"},{"key":"2024032602352297200_bib8","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1097\/PRS.0b013e3181b5a37f","article-title":"Management of \u201cburied\u201d penis in adulthood: An overview","volume":"124","author":"Pestana","year":"2009","journal-title":"Plast Reconstr Surg"},{"key":"2024032602352297200_bib9","doi-asserted-by":"crossref","first-page":"205","DOI":"10.1097\/01.sla.0000133083.54934.ae","article-title":"Classification of surgical complications: A new proposal with evaluation in a cohort of 6336 patients and results of a survey","volume":"240","author":"Dindo","year":"2004","journal-title":"Ann Surg"},{"key":"2024032602352297200_bib10","first-page":"397","article-title":"Buried penis","volume-title":"Reconstructive and plastic surgery of the external genitalia: Adult and pediatric","author":"Ehrilch","year":"1999"},{"key":"2024032602352297200_bib11","doi-asserted-by":"crossref","first-page":"420","DOI":"10.1016\/S0022-5347(01)63939-9","article-title":"Management of the buried penis inadults","volume":"159","author":"Donatucci","year":"1998","journal-title":"J Urol"},{"key":"2024032602352297200_bib12","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1097\/PRS.0b013e3181b5a37f","article-title":"Management of \u201cburied\u201d penis in adulthood: An overview","volume":"124","author":"Pestana","year":"2009","journal-title":"Plast Reconstr Surg"},{"key":"2024032602352297200_bib13","first-page":"1","volume-title":"Prevalence of obesity in the United States","author":"Ogden","year":"2012"},{"key":"2024032602352297200_bib14","first-page":"310","article-title":"[Concealed penis affects the morphology of the corpus cavernosum in rats]","volume":"16","author":"Xie","year":"2010","journal-title":"Zhonghua Nan Ke Xue"},{"key":"2024032602352297200_bib15","doi-asserted-by":"crossref","first-page":"1736","DOI":"10.3760\/cma.j.issn.0366-6999.2010.13.023","article-title":"Effects of buried penis on the structure and function of corpus cavernosum in a rat model","volume":"123","author":"Cheng","year":"2010","journal-title":"Chin Med J (Engl)"},{"key":"2024032602352297200_bib16","article-title":"Erect penile length and circumference dimensions of 1,661 sexually active men in the United States","volume-title":"J Sex Med","author":"Herbenick","year":"2013"},{"key":"2024032602352297200_bib17","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1111\/j.1743-6109.2012.02725.x","article-title":"Position paper: Management of men complaining of a small penis despite an actually normal size","volume":"10","author":"Ghanem","year":"2013","journal-title":"J Sex Med"},{"key":"2024032602352297200_bib18","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1016\/j.urology.2008.01.059","article-title":"Modern management of adult-acquired buried penis","volume":"72","author":"Tang","year":"2008","journal-title":"Urology"},{"key":"2024032602352297200_bib19","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1007\/s11606-012-2188-0","article-title":"Quality of life among obese patients seeking weight loss surgery: The importance of obesity-related social stigma and functional status","volume":"28","author":"Wee","year":"2013","journal-title":"J Gen Intern Med"},{"issue":"1","key":"2024032602352297200_bib20","doi-asserted-by":"crossref","first-page":"121","DOI":"10.1111\/j.1743-6109.2009.01574.x","article-title":"The psychosocial impact of penile reconstructive surgery for congenital penile deviation","volume":"7","author":"Tal","year":"2010","journal-title":"J Sex Med"},{"key":"2024032602352297200_bib21","doi-asserted-by":"crossref","first-page":"2179","DOI":"10.1111\/j.1743-6109.2008.00949.x","article-title":"Risk factors for emotional and relationship problems in Peyronie's disease","volume":"5","author":"Smith","year":"2008","journal-title":"J Sex Med"},{"key":"2024032602352297200_bib22","doi-asserted-by":"crossref","first-page":"218","DOI":"10.1097\/PRS.0b013e318254b3bc","article-title":"The magnitude of effect of cosmetic breast augmentation on patient satisfaction and health-related quality of life","volume":"130","author":"McCarthy","year":"2012","journal-title":"Plast Reconstr Surg"},{"key":"2024032602352297200_bib23","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1186\/1749-799X-7-16","article-title":"Obesity and long term functional outcomes following elective total hip replacement","volume":"7","author":"Vincent","year":"2012","journal-title":"J Orthop Surg Res"},{"key":"2024032602352297200_bib24","doi-asserted-by":"crossref","first-page":"876","DOI":"10.1111\/j.1743-6109.2008.01162.x","article-title":"Revealing the buried penis in adults","volume":"6","author":"Shaeer","year":"2009","journal-title":"J Sex Med"}],"container-title":["The Journal of Sexual Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609515307311?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1743609515307311?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/11\/4\/1086\/48358652\/jsm_11_4_1086.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jsm\/article-pdf\/11\/4\/1086\/48358652\/jsm_11_4_1086.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,25]],"date-time":"2024-03-25T22:57:10Z","timestamp":1711407430000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jsm\/article\/11\/4\/1086\/6958047"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,4,1]]},"references-count":24,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2014,4,1]]},"published-print":{"date-parts":[[2014,4,1]]}},"URL":"https:\/\/doi.org\/10.1111\/jsm.12417","relation":{},"ISSN":["1743-6109","1743-6095"],"issn-type":[{"value":"1743-6109","type":"electronic"},{"value":"1743-6095","type":"print"}],"subject":[],"published-other":{"date-parts":[[2014,4]]},"published":{"date-parts":[[2014,4,1]]}}}