In this month’s journal Urology (the gold journal, named after its cover), Dr. Hampson reported that buried penis occurs in their series of 42 patients, who had an average BMI of 53. Normal is about 20 to 25, overweight is 25 to 30, obesity starts at 30. Morbidly obese is greater than 40 and super obese is greater than 50. A common factor is chronic irritation and inflammation of the penile skin, due to retained urine which once expelled does not leave the body. All of their patients required split thickness skin grafts to replace the skin, in addition to paniculectomy (dermato-lipectomy)..
In our “buried penis” patient population we do see obesity but not enough to produce a uriniferous (urine induced) dermatitis. No skin grafting has been necessary. Once abdominal and pubic skin is stretched (chronically) weight loss seldom returns it back to normal.
Harold M. Reed, M.D.
The Reed Centre for Ambulatory Urological Surgery | Miami
Before picture buried penis surgery (the lower abdominal skin and pubis outlined in blue will be excised)
After picture buried penis surgery
Sagging skin after weight loss