title: [Simplification of the surgical treatment of a hidden penis].
abstract: BACKGROUND
  The treatment of a hidden penis consists of completely and effectively exteriorizing the penile shaft from a functional and aesthetic point of view.
  
  
  METHODS
  Over a period of 15 months (02/2008-05/2009), we treated 7 children (mean age 4.6 years) with hidden penis (five had a buried penis, one had a webbed penis and another a trapped penis) using the Borsellino reconstruction technique modified with an "S" dorsal incision. We performed a pubic lipectomy in one patient through the same incision. Surgical indication was for aesthetic reasons in all the cases, secondary phimosis in four, repeated balanitis in one and pain in another.
  
  
  RESULTS
  Hospital stay was 24 hours. With a short-term follow-up (1-12 months), we detected the following complications: partial recurrence, post-surgical lymphedema and hypertrophic scarring, each of them in one case. Patients and parents were satisfied with the result.
  
  
  CONCLUSIONS
  The technique that we present achieves good cosmetic results and has few immediate complications. The substitution of the two dorsal incisions with one "S" incision allows simultaneous lipectomy without the need for another incision.
authors: Sección de Urología Infantil, Servicio de Cirugía Pediátrica, Hospital General Universitario Gregorio Marañón, Madrid, España. susanarivasvila@gmail.com
authors: S
authors: S
authors: Rivas
authors: R
authors: R
authors: Romero
authors: A
authors: A
authors: Parente
authors: M
authors: M
authors: Fanjul
authors: J M
authors: JM
authors: Angulo
mesh_terms: D001446:Balanitis / Q000150:complications; D002648:Child; D002675:Child, Preschool; D002921:Cicatrix / Q000150:complications* / Q000601:surgery; D017439:Cicatrix, Hypertrophic / Q000188:drug therapy / Q000209:etiology; D002944:Circumcision, Male / Q000009:adverse effects*; D006801:Humans; D007223:Infant; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D009929:Organ Size; D010413:Penis / Q000002:abnormalities / Q000601:surgery*; D010688:Phimosis / Q000209:etiology / Q000601:surgery*; D019651:Plastic Surgery Procedures / Q000009:adverse effects / Q000379:methods*; D012008:Recurrence; D012086:Reoperation; D020034:Silicone Gels / Q000627:therapeutic use; D013997:Time Factors
chemical_list: D020034:Silicone Gels