A spectrum of etiology and treatment. J Pediatr Surg ; Circumcision is contraindicated in these patients until they have been evaluated by a urologist. Warren argues that whereas in boys excess fat is only a contributing factor to penile encroachment, it is causative in men [ 17 ]. The circumferential incision was then closed with absorbable sutures.
The base of the penis is fixed to the pubis to further exteriorize the penile shaft. Early recognition of buried penis is certainly the key to prompt treatment, as is the local and regional awareness of reconstructive service provision. Buried penis often comes along with other physical problems. View at Google Scholar A. A vertical incision is made on the scrotum with relaxing incisions to the right and left to form a Z.
Results of a simplified technique for buried penis repair.
For morbidly obese children and adults, weight loss may help. For a better long-term outcome, surgical interventions should be done at a young age. As males age and have more frequent erections and greater fat accumulation in the pubic area, surgical solutions become more challenging. Six studies were nonrandomized. Definition bias occurred in 2 of the studies, whereby misdiagnosis affected the accuracy of observations.