Related Experiment Videos
Circumcision in 'buried penis'--a cautionary tale
B Sivakumar1, A A Brown, L Kangesu
1St Andrews Centre for Plastic Surgery, Broomfield Hospital, Chelmsford, Essex, UK. bran1973@hotmail.com
Annals of the Royal College of Surgeons of England
|March 10, 2004
Summary
Recognizing buried penis before circumcision is crucial to prevent complications. This case shows how a buried penis can lead to excess foreskin removal, requiring reconstructive surgery.
Area of Science:
- Pediatric Surgery
- Urology
- Anatomy
Background:
- Circumcision aims to remove foreskin, but excessive removal can cause issues.
- Buried penis, a congenital anomaly, increases risk during circumcision.
- Abnormal dartos bands tether the penile shaft, concealing its true length.
Observation:
- A 5-year-old boy with an unrecognized buried penis underwent circumcision.
- The procedure resulted in significant penile shaft skin denudation.
- The resulting wound necessitated a full-thickness skin graft.
Findings:
- Early recognition of buried penis is vital for safe circumcision.
- The case illustrates the abnormal anatomy and management of buried penis.
- A full-thickness graft served as a reconstructive option for excess skin removal.
Implications:
- Highlights the importance of pre-operative assessment for pediatric circumcision.
- Underscores the need for awareness of congenital penile anomalies.
- Demonstrates a successful reconstructive approach for iatrogenic skin loss.