Surgical case

  • Maria Inês Monteiro Paediatric Service of Centro Hospitalar Entre Douro e Vouga
  • Joaquim Monteiro Paediatric Service of Centro Hospitalar São João
Keywords: Bilateral hidrocele, buried penis, genital anomaly, pediatric surgery

Abstract

The buried penis is an unusual anomaly, whose etiology is not fully understood. The fascia Dartos is not developed to its normal elastic configuration that would allow the free sliding of the skin over the deeper layers of the penis. These non-elastic fibers retract the extension of the penis, which has an appropriate length. Other conditions that promote the hidden penis: deficit of penile skin, abnormal adhesion of the tunica albuginea to the Buck fascia, excessive pre -pubic fat. Among complications associated we found recurrent balanitis. The Paediatricians must diagnose and guide early. It is a benign disease and the surgery is justified, with excellent outcome, immediate results and few complications.

References

Kliegman R, Nelson WE, ed. Nelson Textbook of Pediatrics. 18th. Philadelphia: Saunders; 2007.

Brisson P, Patel H, Chan M, Feins N. Penoplasty for buried penis in children: report of 50 cases. J Pediatr Surg 2001; 36:421 -5.

Chuang JH, Chen LY, Shieh CS, Lee SY. Surgical correction of buried penis: a review of 60 cases. J Pediatr Surg 2001; 36:426 -9.

Liard A, Mitrofanoff P. Buried penis: a poorly known entity. Arch Pediatr 2002; 9:1288 -90.

Bergeson PS, Hopkin RJ, Bailey RB, McGill LC, Piatt JP. The inconspicuous penis. Pediatrics 1993; 92:794 -9.

Lardellier -Reynaud F, Varlet F, François M, Mouriquand P. Congenital buried penis in children. Prog Urol 2011; 21:642-50.

Naji H, Ingolfsson I, Isacson D, Svensson JF. Decision making in the management of hydroceles in infants and children. Eur J Pediatr 2012; 171:807 -10.

Liu X, He DW, Hua Y, Zhang DY, Wei GH. Congenital completely buried penis in boys: anatomical basis and surgical technique. BJU Int 2013;112:271 -5.

Rivas S, Romero R, Parente A, Fanjul M, Angulo JM. Simplification of the surgical treatment of hidden penis. Actas Urol Esp 2011; 35:310 -4.

Yu W, et al. Minimally invasive technique for the concealed penis lead to longer penile length. Pediatr Surg Int 2010; 26:433 -7.

Perger L, Hanley RS, Feins NR. Penoplasty for buried penis in infants and children: report of 100 cases. Pediatr Surg Int 2009; 25:175 -80.

Published
2016-02-23
How to Cite
Monteiro, M. I., & Monteiro, J. (2016). Surgical case. NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL, 23(1), 39-40. https://doi.org/10.25753/BirthGrowthMJ.v23.i1.8592
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