Infrapubic Liposuction for Penile Length Augmentation in Patients with Infrapubic Adiposities.
BACKGROUND
Hidden penis, inconspicuous and concealed penis are synonyms for the same entity "buried penis" where the penile shaft is hidden below the surface of the prepubic fat to an extent that gives an impression of a short penis, despite corporeal length being normal.


OBJECTIVE
The aim of our work is the reduction in the amount of the suprapubic fat by liposuction to reveal the buried penis and assess the results, patient satisfaction and possible complications.


METHODS
The procedure of suprapubic liposuction was carried out on ten men who were attending the outpatient clinic of Andrology complaining of small-sized penis.


METHODS
Pre-, immediate (on table) postoperative and 3 months postoperative skin to tip flaccid and stretched penile lengths were measured. Patient satisfaction was assessed using the five-point Likert scale.


RESULTS
There was a statistically significant increase between the pre- and postoperative flaccid and stretched penile lengths in our patients with a p value <0.001 in both.


CONCLUSIONS
An acquired adult buried penis is a correctable problem. Simple buried penis due to excess fat at the mons pubis should be differentiated from other complex cases that may require combined techniques to achieve good results with minor complications. Suprapubic liposuction is a very safe and successful procedure with minor or no complications if performed meticulously. It could improve self-esteem along with the associated physical and esthetic concerns.


METHODS
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Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, 8th Labib Elbatanoni, Elmanyal, Cairo, Egypt.
Hussein
H
Ghanem
Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, 8th Labib Elbatanoni, Elmanyal, Cairo, Egypt.
Yaser Ibrahim
YI
ElKhaiat
Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, 8th Labib Elbatanoni, Elmanyal, Cairo, Egypt.
Ahmed T
AT
Motawi
Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, 8th Labib Elbatanoni, Elmanyal, Cairo, Egypt. islamandrology@yahoo.com.
Islam Fathy Soliman
IF
AbdelRahman
D000328:Adult; D006119:Groin / Q000601:surgery*; D006801:Humans; D015187:Lipectomy / Q000379:methods*; D008297:Male; D017060:Patient Satisfaction; D010413:Penis / Q000033:anatomy & histology; D050507:Subcutaneous Fat, Abdominal / Q000601:surgery*; D055815:Young Adult
Liposuction; Penile lengthening; Small-sized penis; Suprapubic fat