Buried Penis: Review of 16 cases

Abstract

Buried penis is an uncommon congenital disorder in which penis is partially or completely hidden within the subcutaneous tissue due to abnormal attachment of the skin to the penile shaft. Sixteen cases of buried penis were managed during a period of 2 years. Two different surgical techniques were employed while dealing with these cases. The aim of the study was to evaluate and compare the results of the two techniques. Age ranged from 6 months to 10 years. Presenting complaint in all the patients was hidden or inconspicuous penis. Preputial unfurling was performed in 5 cases (Group A) whereas 11 patients (Group B) underwent penoplasty devised by Brisson et al. Postoperative follow up was of 6 months. Post operative complica-tions were mainly recurrence, edema and redundant skin. In group A 2 (40%) patients had recurrence and 1 (20%) showed redundant skin where as in group B only 1 (9%) had recurrence, 7 (63%) developed significant edema that settled over 72 hours. Cosmetic result was excellent / good in 2 (40%), satisfactory in 1 (20%) and unacceptable in 2 (40%) cases of group A whereas it was excellent in 6 (54.5%) cases, good in 3 (27.2%), satisfactory in 1 (9%) and unacceptable in 1 (9%) case of Group B. Authors recommend early surgical approach to correct buried penis. Penoplasty is a better option than simple preputial unfurling. Circumcision should always be avoided in children having buried penis.

Key Words: Buried Penis, Penoplasty, Micropenis.