title: Genital Reconstruction After Weight Loss in Adipose Male Patients: A Case report.
abstract: OBJECTIVE
  We introduce our surgical technique in two male genital reconstruction cases out of 15 post-bariatric patients.
  
  
  METHODS
  At our Department for Plastic Surgery at the University Hospital Magdeburg, 15 patients, 6 male and 9 female, underwent a surgical abdominoplasty after weight loss in 2009.
  
  
  RESULTS
  The average weight of the 15 patients was preoperatively 197.2 kg and the average hospital stay was of 14 days. In 2 cases, a second procedure for male genital reconstruction was necessary. After primary dietary measures and weight loss, we performed genital reconstruction in a second step with a sleeve-, Z-, VY-plasty and a "bilobed flap" to restore function and appearance of the male genitalia. In these patients, the average weight was 207.5 kg and hospital stay lasted 32 days.
  
  
  CONCLUSIONS
  The increase of patients with obesity-related genital deformities will be expected in the future. Therefore, more controlled long-term studies should be published to develop guidelines for genital reconstruction techniques in plastic surgery.
authors.affiliation: Department for Plastic, Aesthetic and Handsurgery, University Hospital Magdeburg, Magdeburg, Germany.
authors.forename: Daniel Robert Arno
authors.initials: DR
authors.lastname: Sattler
authors.affiliation: Department for Plastic, Aesthetic and Handsurgery, University Hospital Magdeburg, Magdeburg, Germany.
authors.forename: Silke
authors.initials: S
authors.lastname: Altmann
authors.affiliation: Department for Plastic, Aesthetic and Handsurgery, University Hospital Magdeburg, Magdeburg, Germany.
authors.forename: Manfred
authors.initials: M
authors.lastname: Infanger
authors.affiliation: Department for Plastic, Aesthetic and Handsurgery, University Hospital Magdeburg, Magdeburg, Germany.
authors.forename: Nauras
authors.initials: N
authors.lastname: Abuagela
authors.affiliation: Department for Plastic, Aesthetic and Handsurgery, University Hospital Magdeburg, Magdeburg, Germany.
authors.forename: Sarah Maj
authors.initials: SM
authors.lastname: Schneegans
authors.affiliation: Department for Plastic, Aesthetic and Handsurgery, University Hospital Magdeburg, Magdeburg, Germany.
authors.forename: Hans-Georg
authors.initials: HG
authors.lastname: Damert
authors.affiliation: Department for Plastic, Aesthetic and Handsurgery, University Hospital Magdeburg, Magdeburg, Germany.
authors.forename: Armin
authors.initials: A
authors.lastname: Kraus
keywords: abdominoplasty; genital reconstruction; obesity; pendulous abdomen; penis reconstruction
references.citation: Plast Reconstr Surg. 2012 Oct;130(4):936-947
references.pmid: 23018703
references.citation: Curr Opin Urol. 2005 Jul;15(4):268-72
references.pmid: 15928518
references.citation: Plast Reconstr Surg. 2009 Oct;124(4):1186-1195
references.pmid: 19935302
references.citation: Ann Plast Surg. 2007 Apr;58(4):364-70
references.pmid: 17413876
references.citation: J Sex Med. 2006 Sep;3(5):939-942
references.pmid: 16942539
references.citation: J Urol. 2003 Oct;170(4 Pt 2):1695-7; discussion 1697
references.pmid: 14501694
references.citation: Ann Plast Surg. 1987 Aug;19(2):131-4
references.pmid: 3662345
references.citation: NCHS Data Brief. 2012 Jan;(82):1-8
references.pmid: 22617494
references.citation: J Urol. 1998 Feb;159(2):420-4
references.pmid: 9649254
references.citation: Curr Opin Urol. 2008 Nov;18(6):589-97
references.pmid: 18832944