The concealed penis: management and outcomes.
OBJECTIVE
Management of the concealed penis continues to evolve, with several manuscripts having been published over the last several years. Each describes a novel surgical approach, as well as outcome data. Recently a non-surgical, conservative, approach has also been published. Our goal with this review is to examine the most recent work, highlight the commonalities and differences in technique and compare their results.


RESULTS
The surgical techniques all adhere to several common principles, and all accompany excellent results. The different manuscripts highlight the importance of classification based upon the underlying cause, as this directs surgical technique. The recent report by Radhakrishnan et al. is the first to describe the successful use of conservative management in select cases, a very appealing approach.


CONCLUSIONS
Appropriate management requires a solid understanding of the variable causes of the concealed penis. This allows a more tailored surgical approach and improved outcomes. Accordingly, the management of concealed penis can include a successful non-surgical approach.
Metcalfe
Peter D
PD
Department of Pediatric Urology, James Whitcomb Riley Hospital for Children, Indiana University School of Medicine, Indianapolis, Indiana, USA.
Rink
Richard C
RC
D006801:Humans; D008297:Male; D010413:Penis / Q000002:abnormalities* / Q000601:surgery; D013536:Suture Techniques; D013520:Urologic Surgical Procedures