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Erectile dysfunction due to a 'hidden' penis after pelvic trauma
L A Simonis1, S Borovets, M F Van Driel
1Department of Urology and Traumatology, University Hospital Groningen, The Netherlands.
International Journal of Impotence Research
|March 31, 1999
Summary
A 26-year-old patient with a hidden penis after pelvic trauma underwent successful penile lengthening surgery. The procedure involved V-Y plasty and dissection to free entrapped penile structures.
Area of Science:
- Urology
- Reconstructive Surgery
Background:
- Pelvic fractures with symphysiolysis can lead to complex anatomical changes.
- A 'hidden' penis, or buried penis, can result from trauma, causing functional and cosmetic issues.
Observation:
- A 26-year-old male presented with a dorsally retracted 'hidden' penis.
- The condition was a sequela of a pelvic fracture with symphysiolysis sustained 20 years prior.
- The penis was entrapped within scar tissue and prevesical fat.
Findings:
- Surgical intervention was performed for penile lengthening.
- The procedure included V-Y plasty, removal of excessive fatty tissue, and dissection of entrapped corpora cavernosa.
- Ventral fixation of the penis was achieved post-dissection.
Implications:
- This case demonstrates a successful surgical approach for correcting a severe 'hidden' penis deformity.
- Reconstructive surgery can restore penile length and function in patients with post-traumatic deformities.
- Early intervention may be beneficial, but surgical correction is feasible even years after the initial injury.