Urology Video Journal (Oct 2023)

Minimally invasive monsplasty

  • Amiya Alexander,
  • Sarah Armitage,
  • Aron Liaw

Journal volume & issue
Vol. 20
p. 100245

Abstract

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In this video, we present our technique for a minimally invasive monsplasty using a sling. This is a variation of Shaeer's technique, previously published on by Dr Shaeer. He has demonstrated excellent success with this and we have adapted it with a commercial sling and a midline incision.Buried penis repair can be a very difficult surgery with significant morbidity. In patients with a relatively soft suprapubic fat pad, we attempt to unbury the penis with a relatively simple and minimally invasive surgery.While this technique does not provide as robust a repair as a traditional buried penis repair, it is significantly less morbid and can produce good functional results with much shorter operative time and quicker recovery. Most patients are discharged same day and experience minimal pain. We believe this technique is best suited for patients with a soft, small to moderate fat pad, and who may be poor candidates for a larger surgery.

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