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Concealed penis.

Jayant Radhakrishnan1, Asim Razzaq, Kannan Manickam

  • 1Division of Pediatric Surgery, The University of Illinois, Chicago, IL, USA. jrpds@hotmail.com

Pediatric Surgery International
|February 25, 2003
PubMed
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Surgical correction for concealed penis, including buried penis (BP) and penis palmatus (PP), addresses concerns about genital adequacy. Tailored surgical approaches yield satisfactory outcomes for these congenital penile conditions.

Area of Science:

  • Pediatric Surgery
  • Urology
  • Genetics

Background:

  • A concealed penis, despite normal size, can cause significant psychological distress regarding genital adequacy.
  • Conditions include buried penis (BP), penis palmatus (PP), and trapped penis due to phimosis or scarring.

Purpose of the Study:

  • To review surgical techniques and outcomes for correcting various forms of concealed penis in boys.
  • To emphasize the importance of etiology-specific surgical management.

Main Methods:

  • Surgical correction of 92 boys with concealed penises between 1978 and 2001.
  • Specific techniques included degloving, Z-plasties, Byars flaps, and scrotal displacement based on the cause (BP, PP, phimosis, post-circumcision cicatrix, trauma).

Main Results:

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  • Satisfactory results were achieved in all patients.
  • Two patients with buried penis required secondary operations.
  • Successful correction of buried penis, penis palmatus, and trapped penis was demonstrated.

Conclusions:

  • Surgical correction is effective for concealed penis conditions.
  • Treatment must be individualized to the specific etiology of the concealed penis.