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Related Experiment Videos

Buried penis as a contraindication for circumcision

G J Alter1, C E Horton, C E Horton

  • 1Department of Plastic Surgery, Eastern Virginia Medical School, Norfolk, Virginia.

Journal of the American College of Surgeons
|May 1, 1994
PubMed
Summary

Neonatal circumcision can lead to serious consequences if an infant has an unrecognized buried penis, a congenital penile deformity. Avoiding this procedure in affected infants is crucial to prevent worsening the condition.

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Area of Science:

  • Pediatric Surgery
  • Urology
  • Neonatal Medicine

Background:

  • Neonatal circumcision is common, but carries risks if underlying conditions are missed.
  • Buried penis is a rare congenital penile deformity characterized by a retracted penile shaft.
  • Undiagnosed buried penis can lead to complications following circumcision.

Purpose of the Study:

  • To describe the entity of buried penis in neonates.
  • To discuss the operative repair of buried penis.
  • To emphasize the importance of avoiding neonatal circumcision in cases of buried penis.

Main Methods:

  • Review of the definition and characteristics of buried penis.
  • Discussion of surgical techniques for correction.
  • Clinical recommendations for management.

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Main Results:

  • Buried penis involves a penile shaft hidden by excess suprapubic fat and tethering fascial bands.
  • Surgical repair is described for the condition.
  • Identification and avoidance of circumcision are key.

Conclusions:

  • Neonatal circumcision should be avoided in infants with buried penis.
  • Early recognition and appropriate management are essential.
  • Failure to recognize buried penis can exacerbate the deformity.