Abstract：
OBJECTIVE: Adult acquired buried penis (AABP) is a morbid condition often necessitating surgical intervention. Accurate assessment of pre- and postoperative symptoms is crucial to understand how AABP impacts a patients\' quality of life, verify surgical effectiveness, and practice patient-centered care. There is no validated patient-reported outcome instrument specific for AABP evaluation. We undertook a comprehensive review of existing literature on patient-reported outcome instruments post-AABP surgery to highlight the importance of developing a specific tool.
METHODS: Following the preferred reporting items for systematic reviews and meta-analysis 2020 guidelines, we queried three databases using relevant keywords (e.g., \"buried penis repair\"). Inclusion criteria were studies that discussed surgical management of AABP with patient-reported outcomes. Pediatric and congenital cases were excluded. Information collected included study design, level of evidence, number of participants included in the study, etiology of buried penis, surgical technique, preoperative or postoperative patient-reported outcomes, and patient-reported outcome instrument used.
RESULTS: Initial query identified 998 records. After abstract screening and applying the inclusion or exclusion criteria, a total of 19 articles with 440 patients were included. Eight studies implemented patient-reported outcome instruments. The international index of erectile dysfunction-5 and Likert satisfaction scales were used most frequently. Although all instruments were validated, none were validated in the specific context of AABP surgical intervention.
CONCLUSIONS: There is considerable heterogeneity within the AABP literature regarding patient symptomatology, postoperative complications, patient-reported outcomes, and instruments used. The results of this study emphasize the need for a patient-reported outcome measure to examine the influence of AABP repair on patient satisfaction and health-related quality of life.
METHODS: Following the preferred reporting items for systematic reviews and meta-analysis 2020 guidelines, we queried three databases using relevant keywords (e.g., \"buried penis repair\"). Inclusion criteria were studies that discussed surgical management of AABP with patient-reported outcomes. Pediatric and congenital cases were excluded. Information collected included study design, level of evidence, number of participants included in the study, etiology of buried penis, surgical technique, preoperative or postoperative patient-reported outcomes, and patient-reported outcome instrument used.
RESULTS: Initial query identified 998 records. After abstract screening and applying the inclusion or exclusion criteria, a total of 19 articles with 440 patients were included. Eight studies implemented patient-reported outcome instruments. The international index of erectile dysfunction-5 and Likert satisfaction scales were used most frequently. Although all instruments were validated, none were validated in the specific context of AABP surgical intervention.
CONCLUSIONS: There is considerable heterogeneity within the AABP literature regarding patient symptomatology, postoperative complications, patient-reported outcomes, and instruments used. The results of this study emphasize the need for a patient-reported outcome measure to examine the influence of AABP repair on patient satisfaction and health-related quality of life.
摘要：
目的：成人获得性埋藏阴茎（AABP）是一种病态，通常需要手术干预。准确评估术前和术后症状对于了解AABP如何影响患者的生活质量至关重要。验证手术效果，并实践以患者为中心的护理。没有针对AABP评估的经过验证的患者报告结果工具。我们对AABP手术后患者报告的结果工具的现有文献进行了全面审查，以强调开发特定工具的重要性。
方法：遵循系统评价和荟萃分析2020指南的首选报告项目，我们使用相关关键字查询了三个数据库(例如，“掩埋阴茎修复”）。纳入标准是讨论AABP手术治疗与患者报告结果的研究。排除儿童和先天性病例。收集的信息包括研究设计，证据水平,纳入研究的参与者数量，埋藏阴茎的病因，外科技术,术前或术后患者报告的结果，和使用患者报告的结果工具。
结果：初始查询确定了998条记录。在抽象筛选并应用纳入或排除标准后，共纳入19篇文献,共440例患者.八项研究实施了患者报告的结果工具。使用最多的是国际勃起功能障碍指数-5和李克特满意度量表。尽管所有仪器都经过了验证，在AABP手术干预的特定背景下，均未得到验证。
结论：关于患者症状学的AABP文献中存在相当大的异质性，术后并发症,患者报告的结果，和使用的仪器。这项研究的结果强调需要患者报告的结果指标来检查AABP修复对患者满意度和健康相关生活质量的影响。
方法：遵循系统评价和荟萃分析2020指南的首选报告项目，我们使用相关关键字查询了三个数据库(例如，“掩埋阴茎修复”）。纳入标准是讨论AABP手术治疗与患者报告结果的研究。排除儿童和先天性病例。收集的信息包括研究设计，证据水平,纳入研究的参与者数量，埋藏阴茎的病因，外科技术,术前或术后患者报告的结果，和使用患者报告的结果工具。
结果：初始查询确定了998条记录。在抽象筛选并应用纳入或排除标准后，共纳入19篇文献,共440例患者.八项研究实施了患者报告的结果工具。使用最多的是国际勃起功能障碍指数-5和李克特满意度量表。尽管所有仪器都经过了验证，在AABP手术干预的特定背景下，均未得到验证。
结论：关于患者症状学的AABP文献中存在相当大的异质性，术后并发症,患者报告的结果，和使用的仪器。这项研究的结果强调需要患者报告的结果指标来检查AABP修复对患者满意度和健康相关生活质量的影响。
