Aggravated Concealed Penis Resulting from Circumcision.

Nam, Seung Min; Choi, Hwan Jun; Kim, Mi Sun; Kim, Young Bae

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(4):514-517.
Published online July 1, 2006.

Aggravated Concealed Penis Resulting from Circumcision.

Seung Min Nam, Hwan Jun Choi, Mi Sun Kim, Young Bae Kim

Department of Plastic and Reconstructive Surgery, College of Medicine, Soonchunhyang University, Gyeongsangbuk-do, Korea. medi619@hanmail.net

Abstract

PURPOSE
To report a rare case of concealed penis that was aggravated by circumcision and simple way of treatment using skin flap. The concealed penis is a primarily pediatric disease and is usually treated by urologists. The plastic surgeons tend to see these patients when it become secondary deformation or in conjoinment with other specialties. In such situation, the plastic surgeons do not have many experiences. METHODS: A 3-year-old boy was admitted with aggravated concealed penis after circumcision in congenital webbed penis. Patient had been operated with scar revision and skin flap and peri operative antibiotics.
RESULTS
The patient recovered well without any complication such as infection, hematoma and necrosis of flap. Patient was discharged POD#7 with remaining sutures. Patient was followed up for 7 months and he has no sign of erectile dysfunction, voiding dysfunction and evidence of inflammation of the urinary system.
CONCLUSION
We experienced a case of concealed penis that was aggravated from aggressive circumcision in congenital webbed penis.

Keywords: Concealed penis; Webbed penis; Buried penis; Circumcision