Abstract
VideoKiosk_21 - Lymphatic Sparing Escutcheonectomy for Buried Penis Repair Minimizes Post-operative Scrotal Edema
Urology (Ridgewood, N.J.), Vol.206(Supplement), pp.85-85
12/2025
DOI: 10.1016/j.urology.2025.11.207
Abstract
Objective: With the rising incidence of obesity, acquired buried penis and its surgical management have become more common. Escutcheonectomy remains an essential component of the surgical management. Our historical focus has been on removing as much fat tissue as possible while protecting the penis and spermatic cord structures. Although we attempted to spare the scrotal lymphatics to minimize edema, we did not have a standard surgical approach for lymphatic sparing. We present a video of our technique for sparing scrotal lymphatic drainage in a patient undergoing escutcheonectomy for buried penis repair.
Methods: The video presents a case of a 63 years old gentleman who has a history of acquired buried penis secondary to a large escutcheon. Upon discussion with the patient, he elected to undergo a buried penis repair with escutcheonectomy which is shown here.
Results: All the surgical steps are well documented and described, demonstrating the procedure in the smallest details. A shield shaped incision is made around the escutcheon. Dissection proceeds down to the level of Scarpa's fascia. The escutcheon is mobilized along Scarpa's plane followed by excision and closure of escutcheon bed in a multilayer fashion.
Conclusion: Progress is being made in this field to achieve minimal postoperative edema and optimize surgical outcomes by preserving scrotal lymphatic drainage. Our video attempts to present a simple and easily reproducible technique for lymph node sparing escutcheonectomy by using Scarpa's layer as guide for dissection.
Details
- Title: Subtitle
- VideoKiosk_21 - Lymphatic Sparing Escutcheonectomy for Buried Penis Repair Minimizes Post-operative Scrotal Edema
- Creators
- Charles SchlaepferAhmad AlzubaidiBradley Erickson
- Resource Type
- Abstract
- Publication Details
- Urology (Ridgewood, N.J.), Vol.206(Supplement), pp.85-85
- DOI
- 10.1016/j.urology.2025.11.207
- ISSN
- 0090-4295
- eISSN
- 1527-9995
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 12/2025
- Academic Unit
- Urology
- Record Identifier
- 9985091814702771
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