Revealing the buried penis in adults.
BACKGROUND
Several surgical solutions have been proposed for resolving penile concealment with successful outcomes. Those include liposuction, adhesiolysis, and suprapubic lipectomy through the abdominal crease. Nevertheless, some limitations exist and compromise the results of surgical correction.


OBJECTIVE
This work presents our technique for revealing the hidden penis, addressing the limitations of existing methods for surgical correction.


METHODS
Sixty-four adult males with buried penis were operated upon. The penis was revealed by the combination of adhesiolysis, suprapubic and lateral lipectomy, anchoring the penoscrotal and penopubic junctions, and skin coverage by a local flap.


METHODS
Penile length in the flaccid and erect states.


RESULTS
Average postoperative length in the flaccid state was approximately 7 cm +/- 1.3 (a 293% increase) and in the erect state was 18.4 cm +/- 2.9 (185.7% increase), compared with preoperative length of 1.8 cm +/- 0.4 in the flaccid state and 6.4 cm +/- 1.6 in the erect state. Minor complications occurred. There was no deterioration in sexual function.


CONCLUSIONS
Revealing the concealed penis is a complicated procedure. The outcome may be improved by implementing a radical approach to tissue excision, providing adequate skin coverage, and anchoring the penile shaft, skin, and subcutaneous tissues in the revealed state to prevent relapse.
Shaeer
Osama
O
Department of Andrology, Kasr El Aini Faculty of Medicine, Cairo University, Cairo, Egypt. dr-osama@alrijal.com
Shaeer
Kamal
K
D000328:Adult; D006801:Humans; D008297:Male; D008875:Middle Aged; D010413:Penis / Q000033:anatomy & histology* / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000379:methods*; D055815:Young Adult