title: Management of adult concealed penis using a meshed, split-thickness skin graft.
abstract: BACKGROUND
  Concealed penis (CP) is a rare problem faced by urologists and plastic surgeons. CP occurs secondary to trauma, obesity, or infection. Surgical treatment is individualized and based on patient and provider variables. We aim to review our recent experience using meshed split-thickness skin grafting (STSG) for CP management.
  
  
  METHODS
  A retrospective review was performed on patients who underwent STSG for CP at our institution. Records were reviewed for demographic, operative, and postoperative variables. Preoperative and postoperative photos were obtained to monitor cosmetic results.
  
  
  RESULTS
  Eleven patients underwent CP release with meshed STSG placement. All cases showed improved functional phallic length and good cosmetic results, regardless of etiology.
  
  
  CONCLUSIONS
  STSG is a viable option for penile coverage for management of this difficult-to-treat CP population. This primary or salvage modality offers excellent cosmetic results and may be used following prior reconstructive attempts.
authors.affiliation: Department of Urology, Tulane University School of Medicine, New Orleans, LA, United States.
authors.forename: Aaron
authors.initials: A
authors.lastname: Boonjindasup
authors.affiliation: Department of Urology, Tulane University School of Medicine, New Orleans, LA, United States.
authors.forename: Michael
authors.initials: M
authors.lastname: Pinsky
authors.affiliation: Department of Urology, Tulane University School of Medicine, New Orleans, LA, United States.
authors.forename: Carrie
authors.initials: C
authors.lastname: Stewart
authors.affiliation: Department of Urology, Tulane University School of Medicine, New Orleans, LA, United States; Department of Urology, Mayo Clinic, Rochester, MN, United States.
authors.forename: Landon
authors.initials: L
authors.lastname: Trost
authors.affiliation: Department of Plastic Surgery, Tulane University School of Medicine, New Orleans, LA, United States.
authors.forename: Abigail
authors.initials: A
authors.lastname: Chaffin
authors.affiliation: Department of Plastic Surgery, Tulane University School of Medicine, New Orleans, LA, United States.
authors.forename: David
authors.initials: D
authors.lastname: Jansen
authors.affiliation: Department of Urology, Tulane University School of Medicine, New Orleans, LA, United States.
authors.forename: Wayne
authors.initials: W
authors.lastname: Hellstrom