title: Buried penis: An unrecognized risk factor in the development of invasive penile cancer.
abstract: One of the documented benefits of neonatal circumcision is protection against invasive penile cancer. To date there have been a handful of published cases of invasive penile cancer in men circumcised as neonates. We report a case of a 73-year-old man, with a history of neonatal circumcision with no evidence of previous human papillomavirus exposure, who developed a buried penis secondary to obesity. He was diagnosed with Grade 2, pT3N0 squamous cell carcinoma of the penis. This report suggests that buried penis may pose a risk factor for the development of penile cancer despite the protective effects of neonatal circumcision. Thus periodic examination of a buried penis is warranted even in patients with no risk factors for penile cancer. A review of the literature is provided.
authors.affiliation: McMaster Institute of Urology, Division of Urology, Department of Surgery McMaster University, Hamilton, ON.
authors.forename: Alym
authors.initials: A
authors.lastname: Abdulla
authors.forename: Dean
authors.initials: D
authors.lastname: Daya
authors.forename: Jehonathan
authors.initials: J
authors.lastname: Pinthus
authors.forename: Timothy
authors.initials: T
authors.lastname: Davies