[Surgical correction of concealed penis]
Peng Wu1, Kunjie Wang, Yunman Tang
1Department of Urinary Surgery, West China Hospital, Sichuan University, Chengdu Sichuan, 610041, P.R. China.
Insights
Surgical correction for concealed penis (buried penis) involves tailoring procedures to individual anatomical abnormalities. This approach ensures satisfactory cosmetic outcomes and functional results for patients.
Area of Science:
- Urology
- Pediatric Surgery
- Plastic Surgery
Context:
- Concealed penis, also known as buried penis, is a congenital condition characterized by an inconspicuous penis and abnormal cavernosa development.
- This condition affects individuals across a wide age range, from early childhood to adulthood.
- Associated anomalies such as glanular hypospadias and penile epispadias can complicate management.
Purpose:
- To discuss the severity grading and procedure design for surgically correcting concealed penis.
- To evaluate the outcomes of surgical interventions for concealed penis based on severity and anatomical variations.
Summary:
- A study of 196 cases of concealed penis surgically corrected between 2004 and 2008.
- Patients were classified into mild (49), moderate (109), and severe (38) categories based on severity.
- Surgical procedures were individualized according to anatomical abnormalities, with satisfactory short-term and long-term results reported, including minimal complications and recurrences.
Impact:
- Highlights the importance of personalized surgical planning for concealed penis.
- Demonstrates the efficacy of tailored surgical approaches in achieving favorable cosmetic and functional outcomes.
- Provides a basis for managing concealed penis, addressing associated anomalies and varying degrees of severity.
Objective:
To discuss the severity grading and procedure design of concealed penis.
Methods:
Between June 2004 and April 2008, 196 cases of concealed penis were surgically corrected. The age ranged from 1 year and 4 months to 44 years, with a median of 9 years. They presented with inconspicuous penis and abnormal cavernosa development. Four cases complicated by glanular hypospadias and 3 cases by penile epispadias. They were classified as mild in 49 cases, moderate in 109, and severe in 38 according to severity. Surgical procedures were selected based on varied anatomical changes in different categories.
Results:
All the patients got satisfactory appearance immediately after surgery. No voiding problem, wound infection, and skin necrosis were found. With 6 months to 48 months (mean 16 months) follow-up, most patients achieved good results and the penile appearance resembled that after circumcision. Mild penile retraction was noted in 1 moderate case and 1 severe case; and recurrence occurred in another one, the result was satisfactory after reoperation.
Conclusion:
Various surgical procedures can be adopted for concealed penis. The key point is to design procedures according to the anatomical abnormalities.
