Vol. 6, Issue 1, Part B (2024)

Background: The size of the penis has been a source of anxiety for men throughout history, and if a man perceives his penis as inadequate, then these feelings invade his interaction with his social associates and sexual partners. The aim of this work was to evaluate the surgical and functional outcomes of penile lengthening techniques with or without suspensory ligament release in the management of adult buried penis.
Methods: This prospective randomized study was carried out on 68 adult obese patients’ males aged >18 years old, complaining of apparently short penis due to adult acquired buried penis with contributory escutcheon and sufficient penile skin. Patients were randomized into two groups: Group A (n=28): suprapubic dermatolipoectomy with suspensory ligament release and group B (n=32): suprapubic liposuction without suspensory ligament release.
Results: Immediate postoperative penile length, early postoperative complications and penile length (immediate and after 6 months postoperative) were a significant increase in group A than group B. There was significant improvement in the self-esteem and relationship’ questionnaire (SEAR) score in both groups postoperative. There was a significant increase in intraoperative and postoperative (early and late) complications in group A than group B (p<0.05). There was a significant increase in follow up duration, patient satisfaction using five-point Likert scale and improvement of the SEAR score in group A than in group B (p<0.05).
Conclusions: The combination of suprapubic dermatolipoectomy and suspensory ligament release is quite safe and effective for penile lengthening.