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Plastisch-chirurgische Rekonstruktion des adulten „buried Penis“

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Plastic surgery reconstruction of the adult buried penis

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Zusammenfassung

Der „vergrabene“ Penis des Erwachsenenalters ist für den Patienten schambehaftet und potentiell im Verbund mit beträchtlichen urogenitalen Komplikationen. Bedingt durch eine Adipositas, ein chronisches urogenitales Lymphödem oder konsekutiv entzündliche urogenitale Reaktionen wie einem Lichen sclerosus ist das klinische Erscheinungsbild des „buried“ Penis des Erwachsenen äußerst variabel. Epidemiologische Daten sind nicht existent. Therapeutisch ist für das beste ästhetische und funktionelle Ergebnis oft eine Kombination verschiedener plastisch-chirurgischer Eingriffe notwendig. Die Therapiestrategie ist dabei hochindividuell, die Therapie selbst interdisziplinär. Der folgende Artikel gibt eine Übersicht über die plastisch-chirurgische Rekonstruktion des „buried“ Penis des Erwachsenen.

Abstract

The adult buried penis afflicts the patient with shame and is also potentially associated with considerable urogenital complications. Due to obesity, chronic urogenital lymphedema or subsequent inflammatory urogenital conditions, such as a lichen sclerosus et atrophicus, the clinical appearance of the adult buried penis is extremely variable. Epidemiological data are non-existent. Therapeutically, a combination of various plastic surgery procedures is often necessary for the best esthetic and functional results. The therapeutic strategy is highly individual and the therapy itself is interdisciplinary. This article provides an overview of the plastic surgery reconstruction of the adult buried penis.

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Authors and Affiliations

  1. Universitätsklinik für Urologie und Nierentransplantation, Martin-Luther-Universität Halle/Saale, Ernst-Grube-Straße 40, 06120, Halle/Saale, Deutschland

    S. Mühlstädt FEBU & N. Mohammed

  2. Klinik für Urologie, Asklepios Klinik St. Georg, Hamburg, Deutschland

    P. Anheuser

  3. Klinik für Plastische und Ästhetische Chirurgie – Handchirurgie – Wiederherstellungschirurgie, St. Antonius-Hospital Eschweiler, Aachen, Deutschland

    A. D. Bach

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  1. S. Mühlstädt FEBU
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  3. N. Mohammed
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  4. A. D. Bach
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Correspondence to S. Mühlstädt FEBU.

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Interessenkonflikt

S. Mühlstädt, P. Anheuser, N. Mohammed und A. D. Bach geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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S. Mühlstädt und P. Anheuser sind gleichberechtigte Erstautoren.

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Mühlstädt, S., Anheuser, P., Mohammed, N. et al. Plastisch-chirurgische Rekonstruktion des adulten „buried Penis“. Urologe 56, 1266–1273 (2017). https://doi.org/10.1007/s00120-017-0476-3

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