Abstract
Purpose
The aim of this study is to report single surgeon’s experience in treatment of buried penis in children and describe the surgical technique which was developed by the senior author.
Methods
Described surgical technique avoids circumferential incision at the base of the penis and thus prevents formation of post-operative lymphedema. Repair is based on a vertical incision in median raphe, complete degloving of penis and tacking its base to prepubic fascia. Shaft skin is attached to base of penis with vertical mattress sutures.
Results
Patient age varied from 1 month to 11.4 years (mean 1.9 years). All patients had good to excellent outcome with uniformly improved visualization of penile shaft post-operatively. There was one case of wound infection successfully treated with oral antibiotics. Revisions were needed in 4% patients.
Conclusion
Surgical correction of buried penis in infants and children is safe and effective. Described technique is applicable for essentially all cases of congenital buried penis as well as for iatrogenically entrapped penis after circumcision. In our experience there were no additional procedures required to assure skin coverage of penile shaft.
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References
Maizels M, Zaontz M, Donovan T, Bushnick PN, Firlit CF (1986) Surgical correction of the buried penis: description of a classification system and a technique to correct the disorder. J Urol 136:268–271
Brisson P, Patel H, Chan M, Feins N (2001) Penoplasty for buried penis in children: report of 50 cases. J Pediatr Surg 36:421–425. doi:10.1053/jpsu.2001.21605
Crawford BS (1977) Buried penis. Br J Plast Surg 30:96–99
Wollin M, Duffy PG, Malone PS, Ransley PG (1990) Buried penis. A novel approach. Br J Urol 65:97–100
Joseph VT (1995) A new approach to the surgical correction of buried penis. J Pediatr Surg 30:727–729. doi:10.1016/0022-3468(95)90702-5
Boemers TML, De Jong TPVM (1995) The surgical correction of buried penis: a new technique. J Urol 154:550–552. doi:10.1016/S0022-5347(01)67108-8
Cromie WJ, Ritchey ML, Smith RC, Zagaja GP (1998) Anatomical alignment for the correction of buried penis. J Urol 160:1482–1484. doi:10.1016/S0022-5347(01)62597-7
Alter GJ, Ehrlich RM (1999) A new technique for correction of the hidden penis in children and adults. J Urol 161:455–459. doi:10.1016/S0022-5347(01)61922-0
Casale AJ, Beck SD, Cain MP, Adams MC, Rink RC (1999) Concealed penis in childhood: a spectrum of etiology and treatment. J Urol 162:1165–1168. doi:10.1016/S0022-5347(01)68114-X
Donahoe PK, Keating MA (1986) Preputial unfurling to correct the buried penis. J Pediatr Surg 21:1055–1057. doi:10.1016/0022-3468(86)90007-2
Redman JF (2005) Buried penis: a congenital syndrome of a short penile shaft and a paucity of penile shaft skin. J Urol 173:1714–1717. doi:10.1097/01.ju.0000154781.98966.33
Shapiro SR (1987) Surgical treatment of the “buried” penis. Urology 30:554–559. doi:10.1016/0090-4295(87)90435-3
Shenoy MU, Srinivasan J, Sully L, Rance CH (2000) Buried penis: surgical correction using liposuction and realignment of skin. BJU Int 86:527–530. doi:10.1046/j.1464-410X.2000.00798.x
Chuang JH (1995) Penoplasty for buried penis. J Pediatr Surg 30:1256–1257. doi:10.1016/0022-3468(95)90479-4
Radhakrishnan J, Razzaq A, Manickam K (2002) Concealed penis. Pediatr Surg Int 18:668–672
Frenkl TL, Agarwal S, Caldamone AA (2004) Results of simplified technique for buried penis repair. J Urol 171:826–828. doi:10.1097/01.ju.0000107824.72182.95
Smeulders N, Wilcox DT, Cuckow PM (2000) The buried penis—an anatomical approach. BJU Int 86:523–526. doi:10.1046/j.1464-410X.2000.00752.x
Kojima Y, Hayashi Y, Maruyama T, Sasaki S, Mogami T, Ueda K (1999) Correction of completely buried penis using the modified preputial island pedicle flap method. J Pediatr Surg 34:1524–1526. doi:10.1016/S0022-3468(99)90118-5
Gillett MD, Rathbun SR, Husmann DA, Clay RP, Kramer SA (2005) Split-thickness skin graft for the management of concealed penis. J Urol 173:579–582. doi:10.1097/01.ju.0000149606.27158.fa
Herndon CDA, Casale AJ, Cain MP, Rink RC (2003) Long-term outcome of the surgical treatment of concealed penis. J Urol 170:1695–1697. doi:10.1097/01.ju.0000083911.59937.c6
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An erratum to this article can be found at http://dx.doi.org/10.1007/s00383-008-2308-4
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Perger, L., Hanley, R.S. & Feins, N.R. Penoplasty for buried penis in infants and children: report of 100 cases. Pediatr Surg Int 25, 175–180 (2009). https://doi.org/10.1007/s00383-008-2283-9
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DOI: https://doi.org/10.1007/s00383-008-2283-9