Concealed Penis:Rare Complication of Circumcision

Abstract

A man presented with a concealed penis which developed after circumcision. In addition to anatomic variations in penile skin attachment and obesity, circumcision is an iatrogenic cause in the etiology of a concealed penis. Although it is a frequent and simple operation, it may lead to uncommon complications due to a lack of experience and poor technique.

Subglanular Stricture: Rare Penile Anomaly Resulting From Circumcision

“…Although rare penile anomalies as complications of circumcision, like concealed penis, 11 have been reported, this type of penile anomaly has not been reported as a complication resulting from circumcision. This case again questions whether circumcision should be performed only by health care professionals.…”

Dermatological Complications of Circumcision: Lesson Learned from Cases In a Pediatric Dermatology Practice

“…Concealed penis, which refers to a normal‐size penis buried in prepubic tissues (buried penis), enclosed in scrotal tissue (webbed penis), or trapped by scar tissue after penile surgery (trapped penis) is a rare complication of circumcision . Concealed penis can be congenital or present before or after circumcision during infancy or adolescence .…”

Concealed penis in a 2-year-old boy: a rare complication of circumcision

“… 1 , 2 , 11 , 12 Concealed (buried) penis is a rare complication of circumcision. 11 , 13 , 15 It results from the excision of excess preputial skin while not enough inner preputial epithelium is excised, thus bringing the new preputial orifice distal to the glans, forcing the penile shaft into the suprapubic fat at the level of the mons pubis. In these cases, a skin graft or local flaps are needed to cover the released shaft.…”

“…Other causes of concealed penis are obesity, when the organ is buried in the prepubic fat, 14 , 15 trapping due to scarring following trauma or phymosis, or the penis can be enclosed in scrotal tissue in penis palmatus, 14 and elephantiasis of the scrotum. Treatment of this condition involves releasing the trapped penis by widening the tight preputial orifice carefully and refining the circumcision, 11 with or without skin reconstruction depending on the etiology and mechanism of formation.…”