Evidence map›Paper›PMID 32378139›Full record

ArticleInternational urology and nephrology2020

Surgical management and outcomes of adult acquired buried penis with and without lichen sclerosus: a comparative analysis.

M Francesca Monn, Michael Chua, Mélanie Aubé, Jessica M DeLong, Kurt A McCammon, David Gilbert, Gerald H Jordan, Ramón Virasoro

Abstract readComparative Study
PubMed Publisher
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
0.2field-weighted citation impact, top 48% 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, 10 citations in OpenAlex.

  1. Top ten surgical tricks-surgical management of adult acquired buried penis.International journal of impotence research · 2026
    Article
  2. Observational
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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

8 authors at 3 institutions in 3 countries.

M Francesca MonnDepartment of Urology, Eastern Virginia Medical School, 1512 Bordeaux Place, Norfolk, VA, 23509, USA.ORCID http://orcid.org/0000-0001-5521-5250
Michael ChuaSt. Luke's Medical Center, Institute of Urology, Quezon City, Philippines.
Mélanie AubéDepartment of Urology, McGill University Health Center, Montréal, Canada.
Jessica M DeLongDepartment of Urology, Eastern Virginia Medical School, 1512 Bordeaux Place, Norfolk, VA, 23509, USA.
Kurt A McCammonDepartment of Urology, Eastern Virginia Medical School, 1512 Bordeaux Place, Norfolk, VA, 23509, USA.
David GilbertDepartment of Plastic Surgery, Eastern Virginia Medical School, Norfolk, VA, USA.
Gerald H JordanDepartment of Urology, Eastern Virginia Medical School, 1512 Bordeaux Place, Norfolk, VA, 23509, USA.
Ramón VirasoroDepartment of Urology, Eastern Virginia Medical School, 1512 Bordeaux Place, Norfolk, VA, 23509, USA. VirasoR@evms.edu.
Eastern Virginia Medical School · USMcGill University Health Centre · CASt. Luke's Medical Center · PH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAdult acquired buried penis (AABP) can present with concomitant Lichen Sclerosus (LS), a chronic dermatosis that may affect surgical outcomes. Our aim was to evaluate outcomes of patients undergoing AABP repair with and without LS.

methodsA retrospective cohort study was performed for AABP repair patients at a single institution from 1/1991 to 12/2017. Patient characteristics and surgical and peri-operative outcomes, including success, erectile function, and complications, were collected.

resultsSixty-seven AABP patients with mean follow-up of 16.1 ± 20.4 months were identified. Overall surgical success was 91%. Overall surgical complication rate was 50.7% (23.9% Clavien-Dindo ≥ 3). Forty-two (62.7%) patients had concomitant LS. A higher proportion of patients with LS required a STSG (90% vs 60%, p = 0.005). There was no difference in surgical success (90.5% vs 92.0%, p = 0.999), overall complication rate (57.1% vs 40.0%, p = 0.212), Clavien-Dindo ≥ 3 complications (23.8% vs 24.0%, p = 0.999) or early complications (35.7% vs 32.0%, p = 0.797) between patients with and without LS, respectively. However, a higher proportion of patients with LS experienced late complications (33.3% vs 8.0%, p = 0.020), which were mainly related to wound healing. Satisfaction with erectile function was higher among patients with LS (59.5% vs 320%, p = 0.043).

conclusionAABP patients with LS behave somewhat differently than their non LS counterparts. They are more likely to require skin graft during surgical treatment. Though surgical success and complications are similar, they do experience a higher rate of late complications from impaired wound healing. Work on improving wound healing in this population should be considered.

Indexed as

AdultAgedCohort StudiesHumansLichen Sclerosus et AtrophicusMaleMiddle AgedPenisPostoperative ComplicationsRetrospective StudiesTreatment OutcomeUrologic Surgical Procedures, MaleAdult acquired buried penisLichen sclerosusSurgical outcomesUrethral stricture

Identifiers

PMID32378139
OpenAlexW3023846518

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.