ArticleTranslational andrology and urology2025
The dartocavernous stitch surgical technique for prevention of recurrent phimosis in obese patients presenting for circumcision.
Article in Translational andrology and urology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
Despite the widespread use of circumcision, several complications can arise, including cosmetic ones. Obesity is a risk factor that can lead to postoperative buried penis after circumcision due to cicatricial scarring. While there are conservative techniques requiring patient commitment to penile manipulation postoperatively to diminish the risk, it remains an ineffective maneuver. Often, surgeons may remove more penile skin than necessary to prevent this complication, or even avoid offering the procedure in these patients. We propose a new technique that prevents buried penis and recurrent phimosis after circumcision in obese patients. There were 4 obese patients, aged 27-63 years old from a single surgeon that underwent circumcision with placement of dartocavernous stitch using 2-0 polydioxanone (PDS). The technique involves placing 2 sutures at 3 and 9 o'clock attaching the proximal and distal Dartos layers to the tunica albuginea. The average body mass index (BMI) was 41.45 kg/m
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