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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
Abstract   Peer reviewed

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

Marcus L. Jamil, Elizabeth J. Pagura, Alexander Rozanski, Kenan A. Ashouri, Charles P. Jones, Eric Cho, Shawn Groves, Nejd Alsikafi, Benjamin Breyer, Joshua Broghammer, …
The Journal of urology, Vol.211(5S), pp.e1046-e1047
05/2024
DOI: 10.1097/01.JU.0001008824.92877.7f.15
url
https://escholarship.org/content/qt8d32k2k5/qt8d32k2k5.pdf?t=sj8j81View
Open Access

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.

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