Buried Penis in infants and Children, Management and Outcome.

Abstract

Objective: To describe surgical approach and its outcome in patients with buried penis(BP)

Methodology: This retrospective descriptive study was Conducted at department of pediatric and neonatal surgery Bahawal Victoria Hospital from September 2017 to September 2022.  Twenty-three patients with buried penis having age 8 months to 13 years were studied and were reviewed for results. All the patients underwent degloving, excision of dysdenetic dartos fascia and phallopexy at dorsal 2 and 10 o clock and ventral sites 4 and 8 o clock. patients with hypospadias /epispadias were excluded from study.

Results; out of 23 patients, 4 patients were of trapped penis. Satisfactory results were found in all grade 1 patients, and trapped penis patients whereas patients with excess pre pubic fat redo surgery was performed in 1, hematma developed in 1 pt which was dealt with by drainage.

Conclusion:  BP is characterised by dysgenetic dartos fascia, short penile length, abnormal suspensory/fundiform ligament and sometimes excess pre pubic fat. So penile degloving and phalopexy(penile tunica albuginea fixation to penile skin )has a good success rate to avoid retraction of penis and minimal post op complications. A long term follow up and multicentre studies are required to generally recommend this technique.