Suprapubic lipectomy with tacking of the penis to the pubic bone and its effect on penile length

Abstract

Abstract Obesity and significant suprapubic fat, circumcision compounded by scar development, and lichen sclerosis all contribute to the uncommon but significant urological condition known as the concealed penis. In order to enhance the quality of life for individuals with hidden penises, this research devised a novel surgical approach. Removing excess suprapubic fat without using flaps and tacking the penile base to maintain its acquired length. The most novel part of the surgical approach was the development of a better tacking method for the penile base. Twenty patients were included in the study. Surgery consisted of a suprapubic lipectomy, the release of the suspensory ligaments of the penis, and then tacking the penis to the pubic bone. To gauge patient satisfaction, we employed a validated questionnaire, the international index of erectile function (IIEF-5) questionnaire. Tacking sutures between the penile hypodermis and pubic periosteum had a measurably positive effect on penile size and patient satisfaction. This new approach had a measurable impact on patients’ penile length. In addition to improving patients’ subjective sexual satisfaction, which is the core of solving a distressing problem.