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Does body mass index affect outcomes in penile reconstruction in conjunction with panniculectomy?
Romina Deldar, BS; Steve Duquette, MD; Rajiv Sood, MD; Juan Socas, MD
Indiana University School of Medicine
2016-01-31
Presenter: Romina Deldar
Affidavit:
I certify that the material proposed for presentation in this abstract has not been published in any scientific journal or previously presented at a major meeting.
Director Name: Rajiv Sood
Author Category: Medical Student
Presentation Category: Clinical
Abstract Category: General Reconstruction
PURPOSE: Obesity has been associated with several disease processes of the penis, including chronic lymphedema, buried penis, and hidradenitis suppurativa. For obese patients, penile degloving with full-thickness skin graft following suprapubic panniculectomy is a common technique. The purpose of this study was to examine a single surgeon's experience with penile reconstruction following panniculectomy to determine if body mass index (BMI) affected complications and outcomes.
METHODS: A retrospective review of 20 patients who underwent penile reconstructive surgery between 2012-2015 was conducted. Patients were divided into two groups depending on their BMI, in which 40 was the cutoff. Means were calculated and compared using a two-tailed t-test. Statistical analyses were performed on SPSS 23 (IBM).
RESULTS: Eleven patients had a BMI under 40, and nine patients had a BMI over 40. There were no other significant differences between patient demographics. Ability to attain and maintain an erection in patients without preoperative erectile dysfunction was 100% in both groups. Inability to urinate while standing secondary to recurrent meatal stricture was seen in 33% of the patients with BMI over 40 and 12% in the lower BMI group. There was no statistically significant difference between post-operative complications, such as donor-site infection (0% vs 9%) and wound dehiscence (0% vs 18%). There was no disease recurrence in either group.
CONCLUSIONS: Body mass index does not seem to influence the functional outcomes or post-operative complications following a suprapubic panniculectomy with skin graft. Future studies, with a larger sample size, must be conducted to elucidate this further.
