Evidence map›Paper›PMID 31797250›Full record

ArticleInternational urology and nephrology2020

Predictors of surgical complications and evaluation of outcomes after surgical correction of adult-acquired buried penis.

Mélanie Aubé, Michael Chua, Jessica DeLong, Kurt McCammon, Jeremy Tonkin, David Gilbert, Ramón Virasoro

Abstract read
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In one paragraph

Article in International urology and nephrology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 14 citations in OpenAlex.

  1. Observational
  2. Article
  3. Article
  4. The outcomes of surgical management options for adult acquired buried penis.International journal of impotence research · 2023
    Article
  5. Review
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Mélanie AubéDepartment of Urology, McGill University Health Center, Montreal, QC, Canada.
Michael ChuaDepartment of Urology, Eastern Virginia Medical School, Norfolk, VA, USA.
Jessica DeLongDepartment of Urology, Eastern Virginia Medical School, Norfolk, VA, USA.
Kurt McCammonDepartment of Urology, Eastern Virginia Medical School, Norfolk, VA, USA.
Jeremy TonkinDepartment of Urology, Eastern Virginia Medical School, Norfolk, VA, USA.
David GilbertDepartment of Plastic Surgery, Eastern Virginia Medical School, Norfolk, VA, USA.
Ramón VirasoroDepartment of Urology, Eastern Virginia Medical School, Norfolk, VA, USA. VirasoR@evms.edu.
Eastern Virginia Medical School · USMcGill University Health Centre · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine predictors for surgical complications and assess patient satisfaction after surgical treatment of Adult-Acquired Buried Penis (AABP).

methodsA retrospective review was performed on all patients diagnosed with AABP who underwent surgical treatment at a single institution from January 2013-December 2017. Patient demographics and peri-operative data were extracted. Univariate and multivariate regression analyses were performed to identify predictors for surgical complications. Patients' post-operative satisfaction was likewise assessed for factors such as successful outcome, post-operative erection quality, and complications related to the surgery.

resultTwenty-four patients of median age 61.5 years (IQR 54-67) with median follow-up of 12 months (IQR 3.25-29) were included. Overall success was 87.5% (21/24). Complications occurred in 15 (62.5%) patients with 7 (29%) Clavien-Dindo category ≥ 3. Based on regression analyses, body mass index (BMI) ≥ 40 (HR 25; 95% CI 1.45-431.81) and tobacco smoking (HR 14.6; 95% CI 1.15-199.98) were identified as independent predictors of overall complications. Concomitant performance of abdominal panniculectomy was associated with Clavien-Dindo category ≥ 3 (HR 28; 95% CI 2.4-326.74) complications. Patient satisfaction was associated with surgical success (p < 0.0001), post-operative erection (p < 0.027), and absence of surgical morbidity that needed further surgical intervention (p = 0.032).

conclusionSurgical management of AABP following an individualized algorithm results in a high success rate but also in relatively high procedure-related morbidity. Peri-operative BMI ≥ 40 and tobacco smoking have higher odds for overall complication occurrence, while concomitant abdominal panniculectomy results in more occurrence of Clavien-Dindo category ≥ 3 morbidities. Patient's eventual satisfaction correlates well with surgical success, post-procedural erection condition, and lack of Clavien-Dindo ≥ 3 morbidity.

Indexed as

Patient SatisfactionAbdominoplastyAgedBody Mass IndexFollow-Up StudiesHumansMaleMiddle AgedPenile DiseasesPenile ErectionPenisPostoperative ComplicationsPostoperative PeriodRetrospective StudiesRisk FactorsSkin TransplantationAdult-acquired buried penisComplicationPredictorsSatisfactionSmoking

Identifiers

PMID31797250
OpenAlexW2993534594

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.