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. 2011 Nov;52(11):787-91.
doi: 10.4111/kju.2011.52.11.787. Epub 2011 Nov 17.

Simple anchoring of the penopubic skin to the prepubic deep fascia in surgical correction of buried penis

Eun-Hong Jung  1 , Jeong-Hwan Son, Seok-Heun Jang, Jae-Won Lee
Affiliations

Simple anchoring of the penopubic skin to the prepubic deep fascia in surgical correction of buried penis

Eun-Hong Jung et al. Korean J Urol. 2011 Nov.

Abstract

Purpose: The aim of this study was to categorize concealed penis and buried penis by preoperative physical examination including the manual prepubic compression test and to describe a simple surgical technique to correct buried penis that was based on surgical experience and comprehension of the anatomical components.

Materials and methods: From March 2007 to November 2010, 17 patients were diagnosed with buried penis after differentiation of this condition from concealed penis. The described surgical technique consisted of a minimal incision and simple fixation of the penile shaft skin and superficial fascia to the prepubic deep fascia, without degloving the penile skin.

Results: The mean age of the patients was 10.2 years, ranging from 8 years to 15 years. The median follow-up was 19 months (range, 5 to 49 months). The mean penile lengths were 1.8 cm (range, 1.1 to 2.5 cm) preoperatively and 4.5 cm (range, 3.3 to 5.8 cm) postoperatively. The median difference between preoperative and postoperative penile lengths was 2.7 cm (range, 2.1 to 3.9 cm). There were no serious intra- or postoperative complications.

Conclusions: With the simple anchoring of the penopubic skin to the prepubic deep fascia, we obtained successful subjective and objective outcomes without complications. We suggest that this is a promising surgical method for selected patients with buried penis.

Keywords: Abnormality; Penis; Surgery.

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Conflict of interest statement

The authors have nothing to disclose.

Figures

FIG. 1
FIG. 1
Categorization of concealed penis and buried penis by preoperative physical examination including the manual prepubic compression test.
FIG. 2
FIG. 2
Comparison between concealed penis (A) and buried penis (B) by use of the manual prepubic compression test.
FIG. 3
FIG. 3
(A) A dorsal slit incision was made in the midline of the prepuce to expose the whole glans. (B) An approximately 1 cm transverse incision was made near the penile base at 12 o'clock at the penopubic junction. 1 or 2 mm stab incisions at just skin depth were made at the 9 and 3 o'clock positions lateral to the penile shaft. (C) An additional large half-circled needle was tied up to the end of 4-0 nylon and passed through the deep fascia from the 3 o'clock tiny stab incision to the 12 o'clock skin incision. The other end with a 4-0 nylon needle was passed through the subcutaneous tissue from the 3 o'clock tiny stab incision to the 12 o'clock skin incision. (D) After confirming that the penopubic junction was secured to the prepubic deep fascia in the stretched state, each side of the stitch was tied up under the 12 o'clock incision.
FIG. 4
FIG. 4
(A) Preoperative appearance of the buried penis. (B) Immediate postoperative appearance of the buried penis.
See this image and copyright information in PMC

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