A simple modified method to correct buried penis in boys.

Abstract

Background: Buried penis is a result of penile skin deficiency and inadequate attachment of the skin to the Buck's fascia. A modified prepuce unfurling technique and the results are reported.

Methods: Thirty-two boys with buried penis, aged 14 months to 12 years, underwent the surgical procedure. A circumferential incision is made at the junction of the outer and inner prepuce. The subcutaneous tissue is dissected from the inner prepuce and degloved from the Buck's fascia, so that a thin inner prepuce can be sutured directly to Buck's fascia. Reapproximation of the outer and the inner prepuce completes the procedure.

Results: Prolonged preputial edema was seen in two patients. No patient had skin necrosis. Most patients achieved satisfactory results.

Conclusions: This procedure unfurls the inner prepuce to cover the penile shaft. Ideal cosmetic results could be achieved in selected patients if some details of the procedure are emphasized.