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. 2020 Aug;28(3):172-178.
doi: 10.1177/2292550320903440. Epub 2020 Apr 20.

Suprapubic Liposuction With a Modified Devine's Technique for Buried Penis Release in Adults

Peiyang Zhang  1 , Baicheng Wang  1 , Xiaowei Zhang  2 , Ziqi Song  2 , Wenjun Bai  2 , Qing Li  2 , Tao Xu  2
Affiliations

Suprapubic Liposuction With a Modified Devine's Technique for Buried Penis Release in Adults

Peiyang Zhang et al. Plast Surg (Oakv). 2020 Aug.

Abstract
in English, French

Background: With the increasing prevalence of overweight and obesity, adult-acquired buried penis is more common in recent years. Many surgical techniques have been reported. However, none is the gold standard.

Objective: To evaluate the safety and efficacy of combining suprapubic liposuction and modified Devine's technique for penile lengthening in adult patients with buried penis due to obesity.

Methods: From September 2015 to June 2018, 26 consecutive suitable patients (mean age: 33 ± 5.7 years, mean body mass index: 29 ± 5.4 kg/m2) with a buried penis received suprapubic liposuction and modified Devine's technique for penis release in our medical centre. A retrospective study was conducted. Their penile length from tip to the skin (flaccid) was measured pre- and post-operatively. The amount of liposuction was also recorded accordingly.

Results: The mean length of the follow-up on the 26 patients is 18 ± 7.1 months (range 3-33 months). The average amount of liposuction is 450 ± 90.2 mL. The average penile length measured preoperatively, post-operatively (on table), and 3 months after the operation is 2.9 ± 1.3, 7.4 ± 2.1, and 5.3 ± 1.8 cm, respectively. The post-operative penile length had significantly increased by 4.5 ± 1.6 cm (on table) and 2.4 ± 0.7 cm (3 months post-operation) with a P value <.05. No patient had difficulties in sexual intercourse or urination post-operatively. None of the patients were dissatisfied with their surgical outcomes.

Conclusions: The combination of suprapubic liposuction and modified Devine's technique is a safe and effective method for releasing the buried penis of adults with satisfying outcomes.

Contexte: Avec la prédominance croissante du surpoids et de l'obésité, le pénis enterré adulte-acquis est plus commun ces dernières années. Beaucoup de techniques chirurgicales ont été rapportées. Cependant, aucun n'est l'étalon-or.

Objectif: Évaluer l'innocuité et l'efficacité de la combinaison de la liposuccion suprapubique et de la technique modifiée de Devine pour l'allongement du pénis chez les patients adultes avec un pénis enterré en raison de l'obésité.

Méthodes: De septembre 2015 à juin 2018, 26 patients appropriés consécutifs (âge moyen : 33 ± 5.7 ans, indice de masse corporelle moyen : 29 ± 5.4 kg/m2) avec un pénis enterré ont reçu une liposuccion suprapubique et modifié la technique de Devine pour la libération du pénis dans notre centre médical. Une étude rétrospective a été menée. Leur longueur pénienne de la pointe à la peau (flasque) a été mesurée avant et postopératoirement. La quantité de liposuccion a également été enregistrée en conséquence.

Résultats: La durée moyenne du suivi sur les 26 patients est de 18 ± 7.1 mois (gamme 3-33 mois). La quantité moyenne de liposuccion est de 450 ± 90.2 ml. La longueur pénitenelle moyenne mesurée de façon préopératoire, postopératoire (sur la table) et de 3 mois après l'opération est de 2.9 ± 1.3, 7.4 ± 2.1 et 5.3 ± 1.8 cm, respectivement. La longueur du pénis postopératoire avait considérablement augmenté de 4.5 ± 1.6 cm (sur la table) et de 2.4 ± 0.7 cm (3 mois après l'opération) avec une valeur P < 0.05. Aucun patient n'a eu des difficultés dans les rapports sexuels ou la miction postopératoire. Aucun des patients n'était insatisfait de leurs résultats chirurgicaux.

Conclusions: La combinaison de la liposuccion suprapubienne et de la technique modifiée de Devine est une méthode sûre et efficace pour libérer le pénis enterré des adultes avec des résultats satisfaisants.

Keywords: Devine’s technique; adult; buried penis; liposuction; penile lengthening.

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Conflict of interest statement

Declaration of Conflicting Interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Wound dressing immediately post-operation.
Figure 2.
Figure 2.
Pressure was placed with a girdle.
Figure 3.
Figure 3.
The front view (above, left) and lateral view (below, left) before the operation, the area for liposuction is marked with red line. The front view (above, right) and lateral view (below, right) 1 month after the operation; the penile length had obviously increased.
Figure 4.
Figure 4.
Post-operative complication: subcutaneous ecchymosis.
See this image and copyright information in PMC

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