Surgical technique experience and results for concealed penis

Concealed penis is a condition characterized by the normal-sized penis being hidden within the pubic tissues, leading to functional and psychological issues. According to Maizels' classification, it is divided into subtypes, including buried, webbed, and trapped penis. This study aims to evaluate the outcomes of patients operated on using the surgical technique proposed by Borsellino and colleagues.

A retrospective analysis was conducted on 39 patients diagnosed with buried penis who underwent surgery between January 2020 and December 2023. The patients had a mean age of 8.2 years, with a follow-up duration ranging from 1 to 2.5 years. The surgical technique was performed under general anesthesia, involving complete dissection of the penile shaft, release of abnormal dartos adhesions, and restoration of normal penopubic and penoscrotal angles. In cases of skin deficiency, corrective procedures such as dorsal skin flaps and ventral V-Y plasty were utilized.

The mean operative time was recorded as 66 min. Most patients experienced short-term postoperative edema and pain. Early recurrence was observed in 4 patients (10.2%), predominantly among obese individuals. Penile rotation and poor cosmetic satisfaction were noted in one case. Long-term cosmetic outcomes were evaluated as positive by both patients and their families.

The surgical technique applied was found to be effective and reliable for concealed penis correction. The method demonstrated low complication rates, ease of application, and high patient satisfaction. Early surgical intervention (12-24 months) is considered beneficial for physical and psychological outcomes. Postoperative education and dietary recommendations appear to contribute to the success of the surgical approach.