Mp64-15 Outcomes Following Surgery for Adult Acquired Buried Penis: A Multi-Institutional Retrospective Investigation Utilizing a Novel Staging System Based on the Standardized Evaluation of the Penis, Abdomen and Scrotum

You have accessJournal of UrologyReconstruction: External Genitalia and Urotrauma (Including Transgender Surgery and Traumatic Fistula) II (MP64)1 May 2024MP64-15 OUTCOMES FOLLOWING SURGERY FOR ADULT ACQUIRED BURIED PENIS: A MULTI-INSTITUTIONAL RETROSPECTIVE INVESTIGATION UTILIZING A NOVEL STAGING SYSTEM BASED ON THE STANDARDIZED EVALUATION OF THE PENIS, ABDOMEN AND SCROTUM Marcus L. Jamil, Elizabeth J. Pagura, Alexander Rozanski, Kenan A. Ashouri, Charles P. Jones, Eric Cho, Shawn Groves, Nejd Alsikafi, Benjamin Breyer, Joshua Broghammer, Jill Buckley, Sean Elliott, Bradley A. Erickson, Jeremy Myers, Andrew C. Peterson, Keith Rourke, Brian Voelzke, Lee Zhao, and Alex J. Vanni Marcus L. JamilMarcus L. Jamil , Elizabeth J. PaguraElizabeth J. Pagura , Alexander RozanskiAlexander Rozanski , Kenan A. AshouriKenan A. Ashouri , Charles P. JonesCharles P. Jones , Eric ChoEric Cho , Shawn GrovesShawn Groves , Nejd AlsikafiNejd Alsikafi , Benjamin BreyerBenjamin Breyer , Joshua BroghammerJoshua Broghammer , Jill BuckleyJill Buckley , Sean ElliottSean Elliott , Bradley A. EricksonBradley A. Erickson , Jeremy MyersJeremy Myers , Andrew C. PetersonAndrew C. Peterson , Keith RourkeKeith Rourke , Brian VoelzkeBrian Voelzke , Lee ZhaoLee Zhao , and Alex J. VanniAlex J. Vanni View All Author Informationhttps://doi.org/10.1097/01.JU.0001008824.92877.7f.15AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: To evaluate the rates of complications and post operative outcomes in men with AABP utilizing data from a multi institutional cohort of patients based upon the Trauma and Urologic Reconstruction Network of Surgeons (TURNS) Penis, Abdomen and Scrotum (PAS) classification and novel staging system. METHODS: Patients with AABP within a multi institutional dataset were retrospectively recategorized into their respective PAS stages based upon their PAS classifications, Figure 1. Descriptive and operative characteristics, 90 day post operative complications, need for revision surgery and treatment success were collected as outcomes. RESULTS: 129 patients were classified according to their respective PAS stages. Treatment success and need for revision surgery was noted in 91% and 14% of men. Complications were noted in 47/129 (36%) of men, Table 1. The most common complications were surgical site infections and superficial wound dehiscence managed non operatively. On multivariate analysis, the presence of LS, OR 9.51, 1.59 - 94.3, p=0.025 and escutcheonectomy OR 9.34, 2.52 - 42.2, p=0.002 were associated with increased odds of complications, Table 2. CONCLUSIONS: Surgery for AABP is safe and effective. Most complications are managed conservatively. This staging system which utilizes the PAS classification system was unable to predict outcomes and complications however it does allow for future reliable and reproducible investigations in this highly heterogenous patient population. Future investigations with larger patient cohorts are needed to better evaluate the ability of the PAS staging system in predicting outcomes. Download PPT Source of Funding: N/A © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1046 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Marcus L. Jamil More articles by this author Elizabeth J. Pagura More articles by this author Alexander Rozanski More articles by this author Kenan A. Ashouri More articles by this author Charles P. Jones More articles by this author Eric Cho More articles by this author Shawn Groves More articles by this author Nejd Alsikafi More articles by this author Benjamin Breyer More articles by this author Joshua Broghammer More articles by this author Jill Buckley More articles by this author Sean Elliott More articles by this author Bradley A. Erickson More articles by this author Jeremy Myers More articles by this author Andrew C. Peterson More articles by this author Keith Rourke More articles by this author Brian Voelzke More articles by this author Lee Zhao More articles by this author Alex J. Vanni More articles by this author Expand All Advertisement PDF downloadLoading ...