Buried Penis After Total Prostatectomy and Circumcision.

Area of Science:

• Urology
• Surgical Case Report

Background:

• Buried penis is a condition where the penis is hidden beneath abdominal, thigh, or scrotal skin, potentially leading to phimosis.
• Phimosis can cause urinary stream abnormalities like spraying or dribbling, impacting quality of life.

Observation:

• A patient with a history of prior phimosis surgery developed worsening phimosis and dysuria post-prostatectomy.
• Circumcision aggravated the condition, resulting in a buried penis with significant urinary spraying, necessitating a seated urination posture.

Findings:

• Surgical management, including scar excision, contracture release, and skin grafting, effectively treated the secondary buried penis and associated phimosis.
• The study highlights that while circumcision can treat phimosis in cases with sufficient skin, it may worsen buried penis symptoms when skin is insufficient, especially after prior circumcision.

Implications:

• This case underscores the importance of assessing skin sufficiency before considering circumcision for secondary phimosis.
• Appropriate surgical reconstruction is crucial for managing complex cases of buried penis and phimosis to restore function and improve patient well-being.