New surgical approach for buried penis with partial release of the penile suspensory system associated with fat transfer and suprapubic retraction
Bibliographic record
Abstract
Adult acquired buried penis (AABP) is a condition of entrapment of the phallus resulting most commonly from obesity. This condition has a significant negative impact on the quality of life, including micturate difficulties, sexual dysfunction and recurrent infections. Many techniques exist to treat AABP; however, do not necessarily include a suspensory ligament release. The ligamentous system supporting the penis is widely called the “penile suspensory ligament” and is composed of four ligaments. We wanted to explore the clinical outcomes on an exploratory patient cohort for penis-lengthening in patients with Grade 1 buried penis using a partial release of the penile suspensory system associated with fat transfer combined with a suprapubic retraction. Under general anesthesia, an abdominal liposuction was performed, followed by a direct defatting of the pubic mons. Then the fundiform, the suspensory and the anterior part of the vertical dense ligaments were severed. Furthermore, several anchoring sutures were added and a retropulsion of the supra pubic area was performed. Finally, the purified fat was injected into the penile shaft in a superficial plane. Files from patients who underwent surgery for stage 1 buried penis between 2015 and 2020 were retrospectively reviewed. Twelve patients with a buried penis underwent a lengthening procedure. The mean augmentation in length was 100% [28.6–218.2] and a mean augmentation of 85.7% [18.2–216.7] in width. We described a safe and reproducible technique for penile augmentation in patients with a stage 1 AABP. Level III, cohort analytic study. Le pénis enfoui acquis chez l’adulte (PEA) est une affection où le pénis est partiellement ou totalement dissimulé, le plus souvent en raison de l’obésité. Cette condition affecte gravement la qualité de vie des patients, entraînant des difficultés urinaires, des dysfonctions sexuelles, ainsi que des infections récurrentes. Dans cet article, nous présentons une technique originale qui combine une section partielle de l’appareil suspenseur, une lipogreffe pénienne pour alourdir l’organe, et une plastie de rétraction pubienne réalisée à l’aide de sutures de 2 mm. Cette étude a pour objectif d’évaluer les résultats cliniques d’une cohorte de patients présentant un pénis enfoui de grade 1, en analysant l’efficacité de la technique proposée pour le traitement de cette pathologie. Sous anesthésie générale, une liposuccion abdominale a été réalisée, suivie d’une résection directe de la graisse du mont de Vénus. Les ligaments fundiforme, suspenseur, ainsi que la partie antérieure des ligaments verticaux denses ont été sectionnés. Des points de sutures d’ancrage ont été ajoutés pour stabiliser la structure. Une rétropulsion de la région sus-pubienne a été effectuée, suivie de l’injection de graisse purifiée dans le corps du pénis. Les dossiers des patients ayant bénéficié de cette intervention pour un pénis enfoui de grade 1 entre 2015 et 2020 ont été analysés rétrospectivement. Douze patients présentant un pénis enfoui ont été inclus dans cette étude et ont bénéficié de cette procédure d’allongement. L’augmentation moyenne de la longueur était de 100 % [intervalle : 28,6–218,2], avec une augmentation moyenne de la largeur de 85,7 % [intervalle : 18,2–216,7]. Ces résultats montrent des améliorations significatives tant en termes de dimensions que de fonctionnalité. Nous proposons une technique innovante, sûre et reproductible pour le traitement du pénis enfoui de grade 1, combinant une section partielle de l’appareil suspenseur, une lipogreffe pénienne et une rétropulsion su pubis permettant des gains notables en longueur et en largeur. Ces résultats suggèrent que cette approche représente une solution efficace pour les patients souffrant de cette condition. Niveau III, étude analytique de cohorte.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
How this classification was reachedexpand
Direct model labels (unvalidated)
Per-model category and study-design labels from the labeling rounds. They are machine output, unvalidated, and the disagreement between models ships as data. No study design here is MEDLINE-validated yet.
| Model arm | Categories | Study design | Confidence |
|---|---|---|---|
| gemma | no category Domain: not available · Genre: Empirical About the Canadian research system: no · About a Canadian topic: no | Case report | low |
| gpt | no category Domain: not available · Genre: Empirical About the Canadian research system: no · About a Canadian topic: no | Other design | low |
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.000 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.001 | 0.001 |
| Science and technology studies | 0.001 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.000 | 0.001 |
| Research integrity | 0.000 | 0.001 |
| Insufficient payload (model declined to judge) | 0.003 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedLabeled directly by 2 models reading the full record.
The models disagree on parts of this classification; every voice is preserved in the section at the end of the page.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".