Increased body mass index is associated with recurrence and complications following repair for adult acquired buried penis.

IF 3.3 3区医学 Q1 UROLOGY & NEPHROLOGY

Journal of Sexual Medicine Pub Date : 2025-06-22 DOI:10.1093/jsxmed/qdaf149

Connor Chestnut, George Koch, Aaron Stewart, Jonathan Wingate, Catalina Hwang, Christopher Loftus, John Paul Giliberto, Hunter Wessells, Jeffrey Friedrich, Judith C Hagedorn, Alexander J Skokan

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引用次数: 0

Abstract

Background: Adult Acquired Buried (AABP) is an increasingly common condition which negatively affects sexual and urinary health and often requires surgical repair.

Aim: To examine risk factors for recurrence and complications following surgical repair AABP.

Methods: We conducted a retrospective review of 76 consecutive patients who underwent repair at a single referral center from 2013 to 2022 with documented follow-up of at least 60 days. Patient charts were reviewed for patient-specific factors including body mass index (BMI), diabetes, and smoking status. Outcomes examined included recurrence, defined as re-burying of penis for which repeat repair was offered, and surgical complications.

Outcomes: Determination of risk factors which increase the odds of recurrence and complication following repair of AABP.

Results: There were 17 (22%) cases of recurrent concealment at an average 436 days follow-up. Twenty-three patients (30%) experienced a complication, with wound cellulitis being the most common (n = 11). A BMI cutoff of 40 kg/m2 was associated with a 12.7-fold increase in the odds of recurrence on logistic regression (P = 0.03), and a BMI cutoff of 38 kg/m2 was associated with a 6.7-fold increase in the odds of developing any complication (P = 0.02) after adjusting for comorbidities. Multivariable analysis showed an increase in 1 BMI point to increase the odds or recurrence by 12% and complication by 11%.

Clinical implications: Patients can be counseled regarding their individual risk for recurrence or complication following AABP repair as well as over the potential benefits of pre-operative weight loss.

Strengths & limitations: Limitations include retrospective nature of review and potential loss-to-follow-up for patients with AABP recurrence.

Conclusion: Increased BMI is associated with increased risk of recurrence and complication following surgical repair of AABP.

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体重指数增高与成人获得性埋藏阴茎修复术后的复发及并发症有关。

背景：成人获得性隐匿（AABP）是一种越来越常见的疾病，对性健康和泌尿健康产生负面影响，通常需要手术修复。目的：探讨AABP手术修复术后复发及并发症的危险因素。方法：我们对2013年至2022年在单一转诊中心接受修复的76例连续患者进行了回顾性研究，随访时间至少为60天。回顾患者病历，了解患者的具体因素，包括身体质量指数（BMI）、糖尿病和吸烟状况。检查的结果包括复发（定义为阴茎再次埋入并进行重复修复）和手术并发症。结果：确定增加AABP修复后复发和并发症几率的危险因素。结果：平均随访436 d，复发隐匿17例（22%）。23例患者（30%）出现并发症，其中伤口蜂窝织炎最为常见（n = 11）。经logistic回归分析，BMI临界值为40 kg/m2与复发几率增加12.7倍相关（P = 0.03）， BMI临界值为38 kg/m2与并发症发生几率增加6.7倍相关（P = 0.02）。多变量分析显示，每增加1个BMI点，复发率增加12%，并发症增加11%。临床意义：可以告知患者AABP修复后复发或并发症的个体风险，以及术前减肥的潜在益处。优势与局限性：局限性包括对AABP复发患者的回顾性研究和潜在的随访损失。结论：BMI增加与AABP手术修复后复发和并发症的风险增加有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Sexual Medicine 医学-泌尿学与肾脏学

CiteScore

6.20

自引率

5.70%

发文量

826

审稿时长

2-4 weeks

期刊介绍： The Journal of Sexual Medicine publishes multidisciplinary basic science and clinical research to define and understand the scientific basis of male, female, and couples sexual function and dysfunction. As an official journal of the International Society for Sexual Medicine and the International Society for the Study of Women''s Sexual Health, it provides healthcare professionals in sexual medicine with essential educational content and promotes the exchange of scientific information generated from experimental and clinical research. The Journal of Sexual Medicine includes basic science and clinical research studies in the psychologic and biologic aspects of male, female, and couples sexual function and dysfunction, and highlights new observations and research, results with innovative treatments and all other topics relevant to clinical sexual medicine. The objective of The Journal of Sexual Medicine is to serve as an interdisciplinary forum to integrate the exchange among disciplines concerned with the whole field of human sexuality. The journal accomplishes this objective by publishing original articles, as well as other scientific and educational documents that support the mission of the International Society for Sexual Medicine.