Simple Anchoring of the Penopubic Skin to the Prepubic Deep Fascia in Surgical Correction of Buried Penis

Abstract

PurposeThe aim of this study was to categorize concealed penis and buried penis by preoperative physical examination including the manual prepubic compression test and to describe a simple surgical technique to correct buried penis that was based on surgical experience and comprehension of the anatomical components.Materials and MethodsFrom March 2007 to November 2010, 17 patients were diagnosed with buried penis after differentiation of this condition from concealed penis. The described surgical technique consisted of a minimal incision and simple fixation of the penile shaft skin and superficial fascia to the prepubic deep fascia, without degloving the penile skin.ResultsThe mean age of the patients was 10.2 years, ranging from 8 years to 15 years. The median follow-up was 19 months (range, 5 to 49 months). The mean penile lengths were 1.8 cm (range, 1.1 to 2.5 cm) preoperatively and 4.5 cm (range, 3.3 to 5.8 cm) postoperatively. The median difference between preoperative and postoperative penile lengths was 2.7 cm (range, 2.1 to 3.9 cm). There were no serious intra- or postoperative complications.ConclusionsWith the simple anchoring of the penopubic skin to the prepubic deep fascia, we obtained successful subjective and objective outcomes without complications. We suggest that this is a promising surgical method for selected patients with buried penis.

Tata Laksana Buried Penis di RSUP Sanglah

“…Hal tersebut berbeda halnya pada pasien dewasa dimana buried penis terjadi terutama pada pasien dengan BMI lebih dari 45 kg/m 2 . 10 Keluhan yang sering muncul pada buried penis berupa penis yang terlihat kecil, kesulitan miksi, infeksi saluran kencing, kesulitan menjaga kebersihan alat kelamin, serta keluhan psikologis dari anak maupun orang tua. 11,12 Studi yang kami lakukan mayoritas pasien datang berobat dengan keluhan penis yang terlihat kecil (6 pasien), sedangkan keluhan lainnya berupa kesulitan miksi (1 pasien) dan infeksi saluran kencing (1 pasien).…”

Hidden Penis in Children: Evaluation of Outcomes and Review of the Literature

“…The first attempt at surgical correction of this problem was done by Schloss in 1959 and in 1968; successful correction was performed by Glanz in an adult. Since that time, numerous techniques have been developed [1,3,5,6,7]. The classification by Maizels is widely referred to, particularly in reference to pediatric buried penis, and identifies buried penis as one of three subgroups of concealed penis, along with webbed and trapped.…”

“…The buried penis is widely regarded as a condition which is difficult to manage both in children and in adults. Buried penis was first described by Keyes in 1919 as follows: "absence of the penis exists when the penis, lacking its proper sheath of skin, lies buried beneath the integument of the abdomen, thigh or scrotum" Buried penis in adults may have a congenital component in some cases but is largely regarded as being an acquired condition as a consequence of obesity [1][2][3].…”

“…Another possible cause of buried penis in the adult is genital lymphedema. This may be idiopathic, iatrogenic (from prior surgery), or acquired due to filariasis [1][2][3][4].…”

New Surgical Technique for the Treatment of Buried Penis: Results and Comparison with a Traditional Technique in 75 Patients

“…Several techniques to correct penile concealment have been described in small series [1,4,6,7,8,9,10,11,12,13,14,15,16,17,18]. We describe a new technique and compare the results of this new technique with a classical approach we used for several years.…”