Related Experiment Video
Updated: May 11, 2026
Microscopic Replantation of Penile Glans Amputation Due to Circumcision
Published on: June 3, 2022
Modified penoplasty for concealed penis in children
Tianyou Yang1, Liyu Zhang, Cheng Su
1Department of Pediatric Surgery, Guangzhou Women and Children's Medical Center, Guangzhou, China. mdtianyouyang@hotmail.com
Insights
This study presents a modified penoplasty technique for treating concealed penis in children. The procedure is safe, effective, and yields satisfactory cosmetic results, improving hygiene and penile accessibility.
Area of Science:
- Pediatric surgery
- Urology
Background:
- Concealed penis, also known as buried penis, is a congenital condition requiring surgical correction.
- Traditional penoplasty techniques may have limitations in achieving optimal functional and cosmetic outcomes.
Purpose of the Study:
- To describe and evaluate a modified penoplasty technique for the surgical repair of concealed penis in pediatric patients.
- To assess the safety, efficacy, and cosmetic satisfaction associated with this modified approach.
Main Methods:
- A retrospective review of 201 pediatric cases of concealed penis surgically repaired between January 2006 and June 2012 using a modified penoplasty technique.
- The technique involved degloving penile skin, excising the inner prepuce, advancing penoscrotal skin, and reconstructing the penoscrotal angle.
Main Results:
- The modified penoplasty was performed on 201 children with a mean age of 5.3 years and a mean operative time of 40 minutes.
- Postoperative edema was common but usually resolved within a month; prolonged edema occurred in 20 cases. Ten cases experienced retraction.
- No functional issues like erection difficulties were reported. Patients and parents reported improved hygiene, better penile visualization, and high satisfaction with cosmetic outcomes.
Conclusions:
- The modified penoplasty technique is a simple, safe, and effective surgical option for correcting concealed penis in children.
- This technique leads to satisfied cosmetic outcomes and functional improvements, enhancing penile hygiene and accessibility.
Objective:
To report a modified penoplasty technique for concealed penis in children.
Methods:
Between January 2006 and June 2012, 201 cases of concealed penis were surgically repaired with modified penoplasty. The modified penoplasty technique consisted of 3 major steps: (1) degloved the penile skin and excised the inner prepuce, (2) advanced penoscrotal skin to cover penile shaft, and (3) fixed the penis base and reconstructed the penoscrotal angle.
Results:
Two hundred one cases of concealed penis were enrolled in this study over a period of 6 years. Mean age at the time of surgery was 5.3 years (range 1-13 years) and mean operative time was 40 minutes (range 30-65minutes). All patients were routinely followed up at 1, 3, and 6 months after surgery. Most patients developed postoperative edema and were resolved within 1 month, whereas 20 cases developed prolonged postoperative edema, especially at the site of frenulum, which took 3 months to be resolved. Ten cases had retraction after surgery. No erection difficulties were recorded. Patients/parents reported better hygiene and improved visualization and accessibility of penis after surgery and were satisfied with the cosmetic outcome.
Conclusion:
The result of this study shows that the modified penoplasty technique is a simple, safe, and effective procedure for concealed penis with satisfied cosmetic outcome.
