Surgical correction of buried penis after traffic accident - a case report.
BACKGROUND
Buried penis, most commonly seen in children, is particularly debilitating in adults, resulting in inability to void while standing and it also affects vaginal penetration. We report a case of buried penis due to a traffic accident, which caused dislocation of the fractured pubic bone that shifted inside and pulled the penis by its suspensory ligament.


METHODS
A 55-year-old man was admitted to our hospital with a chief complaint of hidden penis while in the sitting position. He had suffered a pelvic fracture in a traffic accident four years previously, and his penis was covered with suprapubic fat when he was in a sitting position. He was unable to have sexual intercourse. We performed a penile lengthening procedure, including inverse V-Y-plasty of the dorsal skin of the penile root, suspensory desmotomy and fat removal, under general anesthesia. There was a good cosmetic result with satisfactory penile erection, which allowed successful sexual intercourse after surgery.


CONCLUSIONS
We performed penile elongation surgery with inverse V-Y-plasty of the dorsal skin of the penile root, suspensory desmotomy, and fat removal. Surgical treatment of buried penis achieves marked aesthetic and functional improvement, and benefits the majority of patients, resulting in satisfactory erection and successful sexual intercourse.
Masuda
Hiroshi
H
Department of Urology, Osaka Medical College, Takatsuki, 569-8686, Japan. m3255makiko@r2.dion.ne.jp
Azuma
Haruhito
H
Segawa
Naoki
N
Iwamoto
Yusaku
Y
Inamoto
Teruo
T
Takasaki
Noboru
N
Katsuoka
Yoji
Y
D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D004204:Joint Dislocations / Q000150:complications; D008297:Male; D008875:Middle Aged; D010388:Pelvis / Q000293:injuries*; D010409:Penile Diseases / Q000209:etiology* / Q000601:surgery*; D010413:Penis / Q000293:injuries* / Q000601:surgery*; D016896:Treatment Outcome