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Surgical technique experience and results for concealed penis
Sevim Yener1, Hayriye Nihan Karaman Ayyıldız2,3, Fatma Tuğba Güvenç3
1Department of Pediatric Urology, Health Sciences University Umraniye Training and Research Hospital, Elmalıkent, Adem Yavuz Street, 34764, Umraniye, Istanbul, Turkey. sevimyener@msn.com.
Pediatric Surgery International
|April 11, 2025
Summary
This study shows that a specific surgical technique effectively treats concealed penis in children, with good long-term cosmetic results and high patient satisfaction. Early intervention is recommended for better physical and psychological outcomes.
Area of Science:
- Pediatric Urology
- Surgical Techniques
- Reconstructive Surgery
Background:
- Concealed penis, including buried, webbed, and trapped penis subtypes, causes functional and psychological issues.
- Maizels' classification categorizes concealed penis subtypes.
- This study evaluates a specific surgical approach for concealed penis correction.
Purpose of the Study:
- To assess the outcomes of surgical correction for concealed penis using the Borsellino technique.
- To evaluate the efficacy and safety of this surgical method in pediatric patients.
- To determine the functional and cosmetic results following the procedure.
Main Methods:
- Retrospective analysis of 39 pediatric patients with buried penis.
- Surgery performed under general anesthesia, involving penile shaft dissection and angle restoration.
- Utilized skin grafting techniques (dorsal flaps, V-Y plasty) for skin deficiency.
Main Results:
- Mean operative time was 66 minutes.
- Low recurrence rate (10.2%), primarily in obese patients.
- High long-term patient and family satisfaction with cosmetic outcomes.
Conclusions:
- The Borsellino surgical technique is effective and reliable for concealed penis.
- The procedure has low complication rates and is easy to perform.
- Early surgical intervention (12-24 months) improves physical and psychological outcomes.

