
To systematically review the literature to determine the benefits and harms of the surgical techniques used to correct adult‐acquired buried penis (AABP). 170 studies were identified and screened, and 21 studies (570 patients) were included. In general, high‐complexity reconstructive procedures (category > III) were performed, with split‐thickness skin grafts for shaft reconstruction. Postoperative evaluation of functional outcomes demonstrated significant improvements in sexual function, urinary function and cosmesis. Assessment of risk of bias showed a high risk of bias across all studies. Surgical management of AABP has a high incidence of complications. Still, it results in satisfactory outcomes, with significant improvement in patients' quality of life. The high incidence of graft‐related complications should be considered when counselling patients, and AABP care should be centralized to high‐volume centres.
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