Concealed Penis in Children A Report of 13 Cases

Abstract

Concealed penis is a congenital abnormality in which the skin is unattached to the penile shaft. It is not very rare in children. Thirteen cases of concealed penis were treated from Jan. 1984 to Aug. 1986. All of them had difficult miturition and wetting. The penis seemed to be abrsent, Icases were associated with phimosis. Two underwent a simple circumcision but still had a buried penis after operation. One treated with bilateral longitudinal incision and transverse suture was also unsatisfactory. The other ten were terated with phalloplasty. A lengthening of the penis from 1.6 to 3cm(mean 2.2cm)was acheived postoperatively. In the follow-up study, 8 were satisfactory. as indicated by a normal appearance of the penis, cornplete exposure of the glans and the normal micturition, and 2 had incomplete exposure glans but normal micturition. The authors emphasize the importance of fixing the skin to the peaile base. The associated phimosis should be corrceted simultaneously.