“…However, not all authors find fixation sutures necessary (5), and rely on the natural healing process to establish fixation of the shaft skin to the corporeal bodies (7). Finally, excision of excess or redundant shaft skin is usually performed and considered mandatory, as this avoids a 'bulky' penis postoperativelyimproving cosmetic outcome and obviating the need for further surgical intervention to correct same (1,15). Some authors add lipectomy or liposuction when the procedure is performed in obese boys (2,17,20), however, this has not been found to be necessary, as the results of penoplasty alone in obese boys is just as effective (3,4), as was noted in our index case 2.…”