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
{"title":"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。","authors":"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","doi":"10.1093/jsxmed/qdaf149","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Adult Acquired Buried (AABP) is an increasingly common condition which negatively affects sexual and urinary health and often requires surgical repair.</p><p><strong>Aim: </strong>To examine risk factors for recurrence and complications following surgical repair AABP.</p><p><strong>Methods: </strong>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.</p><p><strong>Outcomes: </strong>Determination of risk factors which increase the odds of recurrence and complication following repair of AABP.</p><p><strong>Results: </strong>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%.</p><p><strong>Clinical implications: </strong>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.</p><p><strong>Strengths & limitations: </strong>Limitations include retrospective nature of review and potential loss-to-follow-up for patients with AABP recurrence.</p><p><strong>Conclusion: </strong>Increased BMI is associated with increased risk of recurrence and complication following surgical repair of AABP.</p>","PeriodicalId":51100,"journal":{"name":"Journal of Sexual Medicine","volume":" ","pages":""},"PeriodicalIF":3.3000,"publicationDate":"2025-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Increased body mass index is associated with recurrence and complications following repair for adult acquired buried penis.\",\"authors\":\"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\",\"doi\":\"10.1093/jsxmed/qdaf149\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Adult Acquired Buried (AABP) is an increasingly common condition which negatively affects sexual and urinary health and often requires surgical repair.</p><p><strong>Aim: </strong>To examine risk factors for recurrence and complications following surgical repair AABP.</p><p><strong>Methods: </strong>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.</p><p><strong>Outcomes: </strong>Determination of risk factors which increase the odds of recurrence and complication following repair of AABP.</p><p><strong>Results: </strong>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%.</p><p><strong>Clinical implications: </strong>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.</p><p><strong>Strengths & limitations: </strong>Limitations include retrospective nature of review and potential loss-to-follow-up for patients with AABP recurrence.</p><p><strong>Conclusion: </strong>Increased BMI is associated with increased risk of recurrence and complication following surgical repair of AABP.</p>\",\"PeriodicalId\":51100,\"journal\":{\"name\":\"Journal of Sexual Medicine\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":3.3000,\"publicationDate\":\"2025-06-22\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Sexual Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1093/jsxmed/qdaf149\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"UROLOGY & NEPHROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Sexual Medicine","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1093/jsxmed/qdaf149","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"UROLOGY & NEPHROLOGY","Score":null,"Total":0}
Increased body mass index is associated with recurrence and complications following repair for adult acquired buried penis.
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.
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.
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