Abstract
A phenomenon known as trapped penis has numerous origins, including injudicious circumcision. Materials and Methods: Surgery for trapped penis with glanular amputation was performed for 5 children. The surgical policy in these cases included complete penile degloving, excising the scarring due to circumcission, fixing the penile skin at the penopubic and penoscrotal angles and reconstructing the penile skin with full thickness skin graft. Results: Improvement was noted in all cases. Conclusion: Surgery for hidden penis using full thickness skin graft achieves very satisfactory aesthetic and functional improvement.
Highlights
An estimated one third of males worldwide are circumcised, with a very high prevalence in some countries and very low coverage in others
This study was conducted in Plastic Surgery Unit of Zagazig University Hospitals from March 2009 to January 2013 and included 5 cases of trapped penis with glanular amputation (Figure 1)
A concealed penis is defined as a phallus of normalsize buried in prepubic tissue, enclosed in scrotal tissue, or trapped by scar tissue after penile surgery, while micropenis represents a penis length less than 2 standard deviations below the mean for age when measured in the stretched state and diminutive penis is seen when the penis is small, malformed or both secondary to epispadias, extrophy, severe hypospadias or intersex conditions [12]
Summary
An estimated one third of males worldwide are circumcised, with a very high prevalence in some countries and very low coverage in others. Circumcision can result in complications as with any surgical procedure [1]-[3]. Most commonly early complications may be minor and treatable as pain, bleeding, swelling or inadequate skin removal. Major complications can occur during the procedure, including death from excess bleeding and amputation of the glans penis if the glans is not shielded during the procedure [4] [5]. Wound infection, the formation of a skin-bridge between the penile shaft and the glans, infection, urinary retention, meatal ulcer, meatal stenosis, fistulas, loss of penile sensitivity, sexual dysfunction and edema of the glans penis [6].
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