title: Concealed epispadias associated with a buried penis.
abstract: OBJECTIVE
  The aim was to describe the clinical presentation and the surgical management of penile epispadias associated with a buried penis in five children.
  
  
  METHODS
  This is a 5-year retrospective review of patients presenting with a buried penis, a congenital defect of the penile skin shaft associated with an unretractable foreskin for whom a penile epispadias was found at the time of surgery. All had undergone surgery combining a Cantwell-Ransley procedure and refashioning of the penile skin following the authors' technique.
  
  
  RESULTS
  Three children had a glanular epispadias and two had a midshaft epispadias. Four had a satisfactory outcome, and one required a complementary urethroplasty for glanular dehiscence.
  
  
  CONCLUSIONS
  Buried penis and epispadias are usually isolated congenital anomalies, although they can be associated. It is therefore recommended to warn parents about the possibility of underlying penile anomaly in children with buried penises and unretractable foreskin. Careful palpation of the dorsum of the glans through the foreskin looking for a dorsal cleft could indicate an associated epispadiac urethra. Surgical correction of both anomalies can be done at the same time. Parents of boys with buried penises should be warned that underlying penile anomaly may exist.
authors.affiliation: Department of Paediatric Urology, Hôpital Mère-Enfant, Université Claude-Bernard, Bron, France.
authors.forename: Ricardo
authors.initials: R
authors.lastname: Sol Melgar
authors.affiliation: Department of Paediatric Urology, Hôpital Mère-Enfant, Université Claude-Bernard, Bron, France.
authors.forename: Daniela
authors.initials: D
authors.lastname: Gorduza
authors.affiliation: Department of Paediatric Urology, Hôpital Mère-Enfant, Université Claude-Bernard, Bron, France.
authors.forename: Delphine
authors.initials: D
authors.lastname: Demède
authors.affiliation: Department of Paediatric Urology, Hôpital Mère-Enfant, Université Claude-Bernard, Bron, France. Electronic address: pierre.mouriquand@chu-lyon.fr.
authors.forename: Pierre
authors.initials: P
authors.lastname: Mouriquand
mesh_terms: D000015:Abnormalities, Multiple / Q000601:surgery*; D002675:Child, Preschool; D004842:Epispadias / Q000150:complications* / Q000473:pathology; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D010413:Penis / Q000002:abnormalities*; D012189:Retrospective Studies; D013521:Urologic Surgical Procedures, Male / Q000379:methods
keywords: Buried penis; Concealed penis; Epispadiac urethra; Epispadias