Read on Twitter
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First, let’s review some nomenclature!
Concealed penis: a condition in which the penis does not protrude away from the body
However, there are a few different flavors...
First, let’s review some nomenclature!
Concealed penis: a condition in which the penis does not protrude away from the bodyHowever, there are a few different flavors...
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Buried penis: buried in prepubic tissue
Webbed penis: enclosed in scrotal tissue
Trapped penis: trapped by scar tissue after penile surgery
ALL of these types will have a phallus of a normal length.
Buried penis: buried in prepubic tissue Webbed penis: enclosed in scrotal tissue Trapped penis: trapped by scar tissue after penile surgery ALL of these types will have a phallus of a normal length.
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Adult-Aquired Buried Penis (AABP) is specifically characterized by a result of one or more of the following:
Morbid obesity
Post-surgical scar formation
Primary genital lymphedema
Adult-Aquired Buried Penis (AABP) is specifically characterized by a result of one or more of the following:
Morbid obesity Post-surgical scar formation Primary genital lymphedema
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We all know obesity is a global health problem.
In 2016, the WHO reported that 1.9 billion adults were overweight or obese.
That’s approximately 39% of the population, folks!!!
We all know obesity is a global health problem.
In 2016, the WHO reported that 1.9 billion adults were overweight or obese. That’s approximately 39% of the population, folks!!!
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And unlike other complications of obesity, adult-acquired buried penis (AABP) can be an uncomfortable topic, frequently overlooked due to an often-embarrassing constellation of symptoms.
And unlike other complications of obesity, adult-acquired buried penis (AABP) can be an uncomfortable topic, frequently overlooked due to an often-embarrassing constellation of symptoms.
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What are these symptoms?
Voiding issues
Difficulty with hygiene
Pain
Sexual dysfunction
What are these symptoms?
Voiding issues Difficulty with hygiene Pain Sexual dysfunction
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And what are the typical complications?
Recurrent infection
Poor aesthetics
Psychological distress
And what are the typical complications?
Recurrent infection Poor aesthetics Psychological distress
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So you may be asking - why can’t these patients just lose weight?
Well, take a look at this graphic:
So you may be asking - why can’t these patients just lose weight?
Well, take a look at this graphic:
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Age-related laxity and increased bulk in the tissues
Retained moisture and urine lead to recurrent inflammation, skin breakdown, and infection
This ultimately results in fibrosis entombing the penis permanently.
Age-related laxity and increased bulk in the tissues Retained moisture and urine lead to recurrent inflammation, skin breakdown, and infection This ultimately results in fibrosis entombing the penis permanently.
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What can we do for AABP patients?
Weight loss will not resolve cicatrix scars or diseased skin.
Surgery is often the only treatment.
(this gif is only relevant because mcdreamy is a surgeon
)
What can we do for AABP patients?
Weight loss will not resolve cicatrix scars or diseased skin. Surgery is often the only treatment.(this gif is only relevant because mcdreamy is a surgeon
)
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@drsamuelpoore offers “The Wisconsin Classification Sytem”
Common and consistent language to help guide surgical decision-making.
Communication between surgeon and patient.
Improved evaluation and reporting of outcomes.
@drsamuelpoore offers “The Wisconsin Classification Sytem”
Common and consistent language to help guide surgical decision-making. Communication between surgeon and patient. Improved evaluation and reporting of outcomes.
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Who should be responsible for surgical management of AABP?
Who should be responsible for surgical management of AABP?
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If you answered “Multidisciplinary Team,” you are correct!
Both urologic and plastic surgeons should be involved!
(i do appreciate those of you who chose mcdreamy, but he is a
surgeon and also a fictional character)
If you answered “Multidisciplinary Team,” you are correct!
Both urologic and plastic surgeons should be involved!(i do appreciate those of you who chose mcdreamy, but he is a
surgeon and also a fictional character)
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Reconstruction for AABP may necessitate debulking nearby tissues, releasing the penis from pathologic or physiologic entrapment, excising and replacing diseased soft tissue, and/or suspending the penis to prevent reburying.
Reconstruction for AABP may necessitate debulking nearby tissues, releasing the penis from pathologic or physiologic entrapment, excising and replacing diseased soft tissue, and/or suspending the penis to prevent reburying.
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96% of AABP patients from a cohort at @uwsmph were satisfied with the outcome after surgery.
Normalized appearance
Significantly improved penile function
Improved mood
Improved quality of life
96% of AABP patients from a cohort at @uwsmph were satisfied with the outcome after surgery.
Normalized appearance Significantly improved penile function Improved mood Improved quality of life
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points:
Adult-acquired buried penis is an often neglected issue affecting obese men.
Weight loss alone is not sufficient for management.
A multidisciplinary surgical approach is crucial for optimal outcomes.
Patients are pleased with results!
points: Adult-acquired buried penis is an often neglected issue affecting obese men. Weight loss alone is not sufficient for management. A multidisciplinary surgical approach is crucial for optimal outcomes. Patients are pleased with results!
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Check out these fantastic articles for more info:
https://academic.oup.com/asj/article-abstract/39/9/979/5242241
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988514/pdf/sjz300.pdf
Check out these fantastic articles for more info:
https://academic.oup.com/asj/article-abstract/39/9/979/5242241 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6988514/pdf/sjz300.pdf
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I’m Emily, MS4 @uwsmph (shoutout @wiscurology) applying to urology this fall!
I enjoy long walks, listening to podcasts, and hanging out with my cat.
Current
: Morbid- A True Crime Podcast
Current
: U World 
Pictured: Me and my cat, Primrose (Prim for short
)
I’m Emily, MS4 @uwsmph (shoutout @wiscurology) applying to urology this fall!
I enjoy long walks, listening to podcasts, and hanging out with my cat.
Current
: Morbid- A True Crime PodcastCurrent
: U World Pictured: Me and my cat, Primrose (Prim for short
)
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Special thanks to @drsamuelpoore of @WiscPlasticSurg for his help with this #tweetorial! And for introducing me to this fascinating topic!
Special thanks to @drsamuelpoore of @WiscPlasticSurg for his help with this #tweetorial! And for introducing me to this fascinating topic!
