{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,3]],"date-time":"2026-10-03T10:03:15Z","timestamp":1791021795848,"version":"4.1.0"},"reference-count":19,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T00:00:00Z","timestamp":1725321600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Various techniques have been described for reconstructing the skin of the penile shaft; however, no universally accepted standard exists for correcting buried penis in adults. We aimed to describe a new technique for correcting an adult-acquired buried penis through a diamond-shaped incision at the penopubic junction. We retrospectively analyzed data from patients treated with our technique between March 2019 and June 2023 in the Department of Andrology, Nanjing Drum Tower Hospital (Nanjing, China). Forty-two adult males with buried penises, with a mean (\u00b1standard deviation [s.d.]) age of 26.6 (\u00b16.6) years, underwent surgery. All patients were obese, with an average (\u00b1s.d.) body mass index of 35.56 (\u00b13.23) kg m\n                    <jats:sup>\u22122<\/jats:sup>\n                    . In addition to phalloplasty, 32 patients concurrently underwent circumcision, and 28 underwent suprapubic liposuction. The mean (\u00b1s.d.) duration of the operation was 98.02 (\u00b113.28) min. The mean (\u00b1s.d.) duration of follow-up was 6.71 (\u00b13.43) months. The length in the flaccid unstretched state postoperatively was significantly greater than that preoperatively (mean \u00b1 s.d: 5.55\u00b11.19 cm vs 1.94\u00b10.59 cm,\n                    <jats:italic toggle=\"yes\">P<\/jats:italic>\n                    &lt; 0.01). Only minor complications, such as wound disruption (7.1%) and infection (4.8%), were observed. The mean (\u00b1s.d.) score of patient satisfaction was 4.02 (\u00b10.84) on a scale of 5. This technique provides excellent cosmetic and functional outcomes with a minimal risk of complications. However, additional clinical studies are needed to evaluate the long-term effects of this procedure.\n                  <\/jats:p>","DOI":"10.4103\/aja202476","type":"journal-article","created":{"date-parts":[[2024,9,3]],"date-time":"2024-09-03T06:00:08Z","timestamp":1725343208000},"page":"72-75","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["\u201cA diamond-shaped\u201d penoplasty technique with or without concurrent suprapubic liposuction for adult-acquired buried penis: clinical outcomes and patient satisfaction rates"],"prefix":"10.4103","volume":"27","author":[{"given":"Jing","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Andrology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jian","family":"Ni","sequence":"additional","affiliation":[{"name":"Department of Burns and Plastic Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yang","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Andrology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wen","family":"Yu","sequence":"additional","affiliation":[{"name":"Department of Andrology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhi-Peng","family":"Xu","sequence":"additional","affiliation":[{"name":"Department of Andrology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yu-Tian","family":"Dai","sequence":"additional","affiliation":[{"name":"Department of Andrology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yi-Qiong","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Emergency, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiao-Zhi","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Andrology, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing 210008, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,9,3]]},"reference":[{"key":"R1-20250304","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1111\/bju.15696","article-title":"What are the benefits and harms of surgical management options for adult-acquired buried penis?A systematic review","volume":"131","author":"Falcone","year":"2023","journal-title":"BJU Int"},{"key":"R2-20250304","doi-asserted-by":"crossref","first-page":"150","DOI":"10.1016\/j.sxmr.2019.02.008","article-title":"Acquired buried penis in adults:a review of surgical management","volume":"8","author":"Smith-Harrison","year":"2019","journal-title":"Sex Med Rev"},{"key":"R3-20250304","doi-asserted-by":"crossref","first-page":"1186","DOI":"10.1097\/PRS.0b013e3181b5a37f","article-title":"Management of \u201cburied\u201dpenis in adulthood:an overview","volume":"124","author":"Pestana","year":"2009","journal-title":"Plast Reconstr 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use of full thickness skin graft phalloplasty during adult acquired buried penis repair","volume":"129","author":"Monn","year":"2019","journal-title":"Urology"},{"key":"R8-20250304","doi-asserted-by":"crossref","first-page":"1086","DOI":"10.1111\/jsm.12417","article-title":"Single center outcomes after reconstructive surgical correction of adult acquired buried penis:measurements of erectile function, depression, and quality of life","volume":"11","author":"Rybak","year":"2014","journal-title":"J Sex Med"},{"key":"R9-20250304","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/j.urology.2017.07.021","article-title":"Surgical and functional outcomes following buried penis repair with limited panniculectomy and split-thickness skin graft","volume":"110","author":"Hampson","year":"2017","journal-title":"Urology"},{"key":"R10-20250304","doi-asserted-by":"crossref","first-page":"1751","DOI":"10.1016\/j.juro.2009.03.010","article-title":"A new technique of concealed penis repair","volume":"182","author":"Sugita","year":"2009","journal-title":"J Urol"},{"key":"R11-20250304","doi-asserted-by":"crossref","first-page":"174","DOI":"10.1016\/j.urology.2020.01.021","article-title":"Buried penis surgical correction:midline incision rotation flaps","volume":"138","author":"Manasherova","year":"2020","journal-title":"Urology"},{"key":"R12-20250304","doi-asserted-by":"crossref","first-page":"384","DOI":"10.21037\/tau-22-852","article-title":"Efficacy and safety evaluation of the scrotal skin transfer method in the treatment of pediatric concealed penis:a six-month follow-up data","volume":"12","author":"Peng","year":"2023","journal-title":"Transl Androl Urol"},{"key":"R13-20250304","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 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