Operative Technique for Buried Penis

DOI 12 References
  • Nirasawa Yuji
    Department of Pediatric Surgery, Kyorin University School of Medicine
  • Ito Yasuo
    Department of Pediatric Surgery, Kyorin University School of Medicine
  • Satumabayashi Kyoko
    Department of Pediatric Surgery, Kyorin University School of Medicine
  • Tanaka Hiroyuki
    Department of Pediatric Surgery, Kyorin University School of Medicine
  • Tsuboi Mikako
    Department of Pediatric Surgery, Kyorin University School of Medicine
  • Kawano Shuichi
    Department of Pediatric Surgery, Kyorin University School of Medicine

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  • 埋没陰茎の改良術式

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Description

A normal-sized penis may appear to be very short in obese infants or boys because of fat deposits in the pubic region. In these cases, no surgical treatment is required and the condition is usually self-correcting. On the otherhand, true buried penis is a congenital abnormality which needs to be corrected by operation. Because the skin is unattached to the penile shaft, the penile shaft appears as if it is absent. However, when the skin is drawn back, there is a normally developed corpus. In the past 6 years. 45 cases of phimosis were operated and 10 of them were accompanied with buried penis. The operation is started by correcting the phimosis. Circumcision is contraindicated since it may cause the lack of the skin. Then U-shaped and Z-shaped skin incision lines are marked ventral and dorsal side of the penis respectively. After freeing the penile shaft from the tethering fibromuscular bands between the penile shaft and abdominal wall. U-shaped incision is approximated to Y-shaped line and Z-shaped incision are sutured by changing the position of the skin flaps. The results of the operation are successful in all 10 cases with normal appearance and function. We describe a simple technique of correcting the buried penis which provide excellent functional and cosmetic results.

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