SURGICAL-TREATMENT OF BURIED PENIS

The buried penis is a Fare congenital entity, whose treatment is surgi cal. There are few publications concerning this matter. The authors re port on their experience in 10 cases (1990-1995). In this abnormality the tip of the glans does not project from the pubic or scrotal skin. It is due to: 1) an excessive development of the penile fascia which r etracts the penis; 2) insufficient attachment of the penile skin at th e base of the penis; 3) often excessive prepubic fat worsens the appea rance of the abnormality but does not by itself totally explain it; 4) a tight phimosis is often present. Surgical treatment is necessary be cause this aspect tends to persist even after puberty. One cannot inde ed count on the development at the age of puberty, neither on the dimi nution of the fat, nor on the simple cure of the phimosis. One must ab ove all ban circumcision which causes the risk of eliminating the skin necessary for reconstruction. The surgical procedure will comprise: 1 ) a longitudinal dorsal incision extended circumferentially; 2) resect ion of the thickened fascia penis; 3) anchoring of the deep face of th e dermis to the proximal part of the fascia penis at the base of the p enis. This surgical procedure has always brought a significant improve ment to the appearance of the penis.