A simple modified method to correct buried penis in boys.
BACKGROUND
Buried penis is a result of penile skin deficiency and inadequate attachment of the skin to the Buck's fascia. A modified prepuce unfurling technique and the results are reported.


METHODS
Thirty-two boys with buried penis, aged 14 months to 12 years, underwent the surgical procedure. A circumferential incision is made at the junction of the outer and inner prepuce. The subcutaneous tissue is dissected from the inner prepuce and degloved from the Buck's fascia, so that a thin inner prepuce can be sutured directly to Buck's fascia. Reapproximation of the outer and the inner prepuce completes the procedure.


RESULTS
Prolonged preputial edema was seen in two patients. No patient had skin necrosis. Most patients achieved satisfactory results.


CONCLUSIONS
This procedure unfurls the inner prepuce to cover the penile shaft. Ideal cosmetic results could be achieved in selected patients if some details of the procedure are emphasized.
Chin
Taiwai
T
Division of Pediatric Surgery, Children's Medical Center, Taipei Veterans General Hospital, Taiwan, ROC. twchin@vghtpe.gov.tw
Liu
Chinsu
C
Wei
Choufu
C
D002648:Child; D002675:Child, Preschool; D006801:Humans; D008297:Male; D010413:Penis / Q000002:abnormalities* / Q000601:surgery*; D013521:Urologic Surgical Procedures, Male / Q000379:methods*