Evaluation of the results of buried penis treatment in 484 patients

Abstract

There are many surgical techniques for buried penis but the surgical indication and the age of surgery are not consistent, so we conducted this descriptive study to evaluate the treatment outcomes for buried penis . The mean age of 484 patients was 7.1 years old. Buried penis was classified into three grades according to penile shaft burial: Mild grade occurred in 36 cases (7.4%): penile shaft buried, but glans and coronal sulcus protrude above pubo-scrotal skin . Moderate grade occurred in 89 cases (18.4%): penile shaft and corona buried, only part of the glans visible above pubo-scrotal skin. Severe grade occurred in 359 patients (74.2%): entire penis buried, glans located at or below pubo-scrotal skin.Surgical indication: severe and moderate cases operated from 1 year of age, mild cases from 6 years old. Operative technique: 2.5-cm scrotal incision (upper quarter), release of penile shaft, cut of Buck’s fascia along the lateral aspects of the corpora cavernosa, fixation of the penile base, and preservation of the prepuce. Outcomes: good in 46.6% (169/363) and fair in 53.4% (194/363). Surgical results showed that the age of surgery according to buried penis grade with the new surgical technique gave favorable results.