Concealed Penis

Urogenital Surgery

MTF Surgery

FTM Surgery

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Concealed penis (“buried penis”) is condition where normal penis is completely or partially hidden under pubic skin. Main causes of this condition are deficiency of penile shaft skin and/or excessive fatty tissue around the base of the penis. Another variant of concealed penis called “trapped penis” can be found after improper and excessive circumcision.

Diagnosis of the concealed penis is set up by physical examination where normal-sized penis can be easily exposed by pressing back the penile and pubic skin around the penis.

Consideration for surgical reconstruction necessitates earnest discussion with the family regarding what the potential functional, cosmetic and psychosocial implications are if no surgery is undertaken as compared to surgical reconstruction. Young patient with concealed penis may be ridiculed by other boys, and those with severe buried penis may have no visible penile shaft while standing and may have to sit to urinate.

During surgical correction foreskin is used to cover the whole penis and sutured to the erectile bodies. Additional removal of the surrounding fat may be helpful. Procedure is completed with exteriorization of the entire penile shaft and reconstruction of the penopubic and penoscrotal angles.

Case 1 (click image for larger view)