Buried Penis: A Surgical Repair

Abstract

From 1979 to 1983, surgical reconstruction of the buried penis was performed on 16 boys. They have been followed up for at least 5 years. In 15 boys, satisfactory appearance of the penis was gotten after the operation. In this paper, we introduced our surgical technique and reviewed the records.

Buried penis: surgical correction using liposuction and realignment of skin

“…Bergeson et al penis where the foreskin and Z-plasties were used to provide cover for the penile shaft, and suprapubic lipectomy was also performed. The technique of using Z-plasty for correcting a partially buried penis with a stenotic foreskin was described by Kubota et al [4]. Illouz [2] ®rst described the concept of modifying the body contour with liposuction by developing numerous subcutaneous tunnels.…”

The Ventral V-plasty: a simple procedure for the reconstruction of a congenital megaprepuce

“…This cluster of anatomical changes can make surgical correction difficult as there is a limited amount of ventral penile shaft skin available for a cosmetically suitable reconstruction. To address this paucity of tissue, many techniques have been described [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18].…”

Buried Penis in the Newborn

“…1 This results in the degloving of the penis and causes the penis to retract even further exacerbating the condition. 2,3,8 When circumcision does not correct the cosmetic appearance of the penis, physicians may recircumcise in an attempt to allow better visualization of the penis. 2,9 Recircumcision is a common reason for referral of the buried penis patient to a urologist.…”

“…It has also been argued that a delay in the repair of the phimosis may interfere with the normal development of the glans. 8 One of the major challenges of surgical cor rection is the paucity of penile shaft skin associated with this condition. Once the position of the penis is corrected and the skin is attached to the corpora, a skin defect is left over the penile shaft.…”

“…1 The condition is also associated with a paucity of penile shaft skin 1,3,6 and phimosis. 1,7,8 Patient Report A 4-month-old uncircumcised male infant was brought in to his family physician for a routine well-baby visit. His parents had noted that his foreskin had been distended with urine every time they changed his diaper.…”