{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,19]],"date-time":"2026-08-19T20:00:59Z","timestamp":1787169659880,"version":"build-2736575974"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:p>\n                    This study aimed to determine whether the abnormal deep layer of dartos fascia plays an important role in buried penis. Forty-nine patients with buried penis were treated with anatomical resection of the deep layer of dartos fascia under a microscope. Penile length was measured before and after completely resecting the deep layer to investigate the role of this layer in penile retraction. The superficial and deep layers of dartos fascia were collected from 49 patients with buried penis, the normal superficial layers were collected from 25 children\/adults who underwent circumcision for nonmedical reasons, and the normal deep layers were collected from 20 adult cadavers. The penile fascia samples were stained with hematoxylin-eosin, Masson\u2019s trichrome, Sirius red, and Verhoeff\u2019s Van Gieson, and subjected to immunohistochemical examination and scanning electron microscopy. The penile shaft (mean \u00b1 standard deviation) was found to be significantly elongated after resecting the deep layer compared with that before resection (6.8 \u00b1 1.9 cm vs 6.0 \u00b1 1.6 cm,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). An abnormal deep layer of dartos fascia characterized by disordered and fragmented elastic fibers was observed in 87.8% (43\/49) of buried penis samples, whereas no abnormal deep layer was observed in normal penises from cadavers (0\/20,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.001). Thus, the abnormal deep layer of dartos fascia plays an important role in the buried penis. Its resection is helpful for avoiding recurrence.\n                  <\/jats:p>","DOI":"10.4103\/aja2022116","type":"journal-article","created":{"date-parts":[[2023,3,16]],"date-time":"2023-03-16T11:32:06Z","timestamp":1678966326000},"page":"632-636","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":6,"title":["Buried penis: a histological and histochemical study of dartos fascia"],"prefix":"10.4103","volume":"25","author":[{"given":"Hong-Yi","family":"Zhang","sequence":"first","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital of Xi\u2019an Medical University, Xi\u2019an 710000, China"},{"name":"School of General Medicine of Xi\u2019an Medical University, Xi\u2019an 710000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gang-Gang","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital of Xi\u2019an Medical University, Xi\u2019an 710000, China"},{"name":"School of General Medicine of Xi\u2019an Medical University, Xi\u2019an 710000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Ting","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital of Xi\u2019an Medical University, Xi\u2019an 710000, China"},{"name":"School of General Medicine of Xi\u2019an Medical University, Xi\u2019an 710000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ke-Bing","family":"Xiao","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital of Xi\u2019an Medical University, Xi\u2019an 710000, China"},{"name":"School of General Medicine of Xi\u2019an Medical University, Xi\u2019an 710000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua-Feng","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Urology, The First Affiliated Hospital of Xi\u2019an Medical University, Xi\u2019an 710000, China"},{"name":"School of General Medicine of Xi\u2019an Medical University, Xi\u2019an 710000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jie","family":"Cui","sequence":"additional","affiliation":[{"name":"School of General Medicine of Xi\u2019an Medical University, Xi\u2019an 710000, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,3,14]]},"reference":[{"key":"R1-20240829","doi-asserted-by":"crossref","first-page":"1620","DOI":"10.1016\/j.juro.2014.10.090","article-title":"Congenital penile pathology is associated with abnormal development of the dartos muscle: a prospective study of primary penile surgery at a tertiary referral center","volume":"193","author":"Spinoit","year":"2015","journal-title":"J 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