Parial results have also provided valuable data for further study in related fields. We retrospectively analyzed the records of 18 patients with penile defects referred to us between and The surgical technique included a circumferential fubctional on the narrow ring of the outer prepuce, followed by a cut ventrally in the midline down to the scrotum. Do you want to read the rest of this article? Get Read on your iPhone, iPad and Android.



Buried penis, a congenital anomaly characterised by a normal-sized penis buried in prepubic tissue, is often of great concern to the patient and family. This anomaly may cause social embarrassment, recurrent balanitis, and difficulty voiding or secondary phimosis [ 1, 2 ]. Buried penis was first classified by Crawford [ 3 ] into partial and complete types in In the partial type, the proximal half functional restoration of penis with partial defect by the penile shaft is buried in the s.

In resgoration functional restoration of penis with partial defect by type, the phallus is completely invisible and the glans is covered only by prepuce because it is buried below the abdominal wall. Others have described congenital completely buried penis CCBP as a phallus of normal girth and short length covered mostly by a prepuce [ 4, 5 ]. The aetiology of CCBP is not clear, but the most widely accepted hypothesis is that the dartos fascia tethers the penile shaft.

Common principles of surgical procedures for CCBP are complete degloving along Buck's fascia to free the penis from its deep tetherings, and correcting the deficiency of the restoeation shaft skin [ ]. To our knowledge, not all patients need surgical correction because some completely obscured phalluses protrude well after penile erection or after standard circumcision.

Here, we describe our technique for the correction of CCBP based on anatomical findings. In all, 22 patients, with a median range age of 4. At the first visit, non-obese children presenting with a buried penis were identified. Buried penis was defined as a normal shaft length that was completely obscured by abnormal fujctional of the penile skin to the penile shaft. The suprapubic fat was compressed to best expose the penis, as well as to assess the abnormal anatomy of the phallus and penile skin.

The best opportunity for evaluation was when the patients had an erection at the time of examination. Reflex functional restoration of penis with partial defect by was induced by compressing the penile root gently or during urination. If both of these methods failed, then we requested the parents to take photographs of the patients' morning erection, to determine the severity of concealment. Toilet training was advised for all patients.

If the abnormal appearance did not improve after 6-month follow-up, surgical intervention was advised. Partially buried penises, seriously obscured phalluses without obvious deficiency of penile skin after spontaneous erection, and concomitant genital anomalies, including webbed penises and trapped penises, were excluded from the study. General anaesthesia was used in all patients, and preoperative antibiotics were given.

The surgical technique included a circumferential incision on the narrow ring of the outer prepuce, followed by a cut ventrally in the midline down to the scrotum. To avoid stricture of the parrial and facilitate the mobilisation of penile and scrotal skin, the cut length was equal to fnuctional circumference of the coronal sulcus as indicated by the red dotted line in Fig. To free the penile shaft from abnormal attachments, the skin and the tunica dartos were completely dissected off of Buck's fascia and all adhesions or chordee were resected ventrally into the peno-scrotal junction.


Penile Implant Patient Story w Dr LeRoy Jones




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