Buried and trapped penis: a case report.

Area of Science:

• Pediatric Surgery
• Urology
• Developmental Biology

Background:

• Buried penis is a congenital condition with normal penile attachments, distinct from trapped penis, which involves skin deficiency post-surgery.
• Circumcision in undiagnosed congenital concealed penis cases can lead to complications.
• Early and accurate diagnosis is crucial for appropriate management of penile anomalies.

Observation:

• A case of congenital buried penis presented with worsening clinical findings after two circumcision procedures at 1.5 years of age.
• The patient had a history of repeated surgical interventions for a condition that was not initially correctly identified.
• Deterioration of clinical status indicated a complication arising from inappropriate surgical management.

Findings:

• Congenital buried penis can be misdiagnosed or complicated by subsequent procedures like circumcision.
• Surgical intervention is necessary for correcting congenital buried penis, especially when complicated by prior surgeries.
• The presented case underscores the importance of differentiating buried penis from other penile anomalies to guide treatment.

Implications:

• Avoidance of circumcision in suspected congenital concealed penis cases is recommended until a definitive diagnosis is established.
• Proper surgical techniques are essential for managing buried penis to prevent iatrogenic complications.
• This case contributes to the understanding of managing complex pediatric penile conditions and informs surgical decision-making.