Buried Penis

The illustrations below show the surgical technique on boys who are overweight. If the boy is not overweight, the pubic incision and fat removal is unnecessary.  Instead the penis is stabilized by a small incision at the junction of the penile skin and pubic fat.

 

Illustration 1:
The typical patient with partial hidden or buried penis.  The patient has a large pubic fat pad. The penis buries into the pubic fat and scrotal sack.  The skin is not well attached to the underlying penile structures.

 

 

 

Illustration 2:

An incision is made above the pubic fat pad. If extra skin is present, some is excised . Fat is removed by a combination of liposuction and excision. The pubic skin is sutured to the underlying muscle to prevent it from sliding down and to prevent the penis from going inside the fat.  This stabilizes penile skin to the penile shaft.

 

 

 

 

Illustration 3:

An incision is made at the junction of the penis and scrotal skin. Sutures are placed from just under the skin to stabilize the skin to the penile shaft.   This prevents the penile shaft from burying into the scrotal sack.

 

 

 

Illustration 4:

The patient at the end of the procedure.  The pubic skin is anchored to the pubic muscles with pubic fat removed. The underside of the penis is anchored to skin at the junction of the penis and scrotum.    The penoscrotal incision is closed with a zig-zag.  Sometimes extra penoscrotal skin is removed.

 

 

 

The patient is a 1 year old who had a buried penis due to a large lower pubic fat pad and an overly aggressive circumcision. His penis was released and made more visible by stabilizing the skin on the underside of the penis and performing a z-plasty.

 

Pre Op Post Op

 

 

11 year old boy who had the procedure illustrated above plus stabilization of the penile skin at the base of his penis.

 

Pre Op Post Op

2 years later

2 years later

 

 

13 boy who had the procedure illustrated above.

 

Pre Op Post Op

at 3 months

at 3 months

 

 

4 year old boy who had several previous attempts to correct his webbed penis by other physicians. He underwent a circumcision with tacking of his penile skin to the base of the penis at the abdominal and scrotal areas.

 

Pre Op Post Op

approximately 2 years later

approximately 2 years later

 

 

11 year old boy with buried penis. He underwent the procedure illustrated above.

 

Pre Op Post Op

approximately 3 years later

approximately 3 years later

 

 

3 year old boy with buried penis who underwent the procedure illustrated above.

 

Pre Op Post Op

approximately 5 months later

approximately 5 months later


Pre Op Post Op

 

Patient 1

 




 

Patient 2

 




 

Patient 3

 




 

Patient 4

 




 

Patient 5

 




 

Patient 6

 




 

Patient 7

 




 

Patient 8

 




 

Patient 9

 




 

Patient 10

 




 

 

53 year old male who had a hidden penis and then developed chronic inflammation of the penile skin and head of the penis. The penile skin ulcerated and scarred causing chronic pain, inability to pull his penis out of his pubic fat, and inability to have sexual intercourse.  He had to sit to urinate and could not void with a stream.  The patient underwent removal of suprapubic fat with tacking, excision of all penile shaft skin, and placement of a thick split thickness skin graft.  His pain is now gone, and he can now void while standing and have sexual intercourse. 



 

Pre Op Post Op

 

 

45 year old male with a severe buried penis with inability to pull out his penis. He had massive weight loss after gastric bypass surgery. The penile skin was damaged from chronic inflammation and dampness. He had previous unsuccessful attempts to correct the buried penis by other physicians. I performed a suprapubic excision of excess skin and fat, tacking of the pubic tissues to the underlying fascia, excision of all his damaged penile skin, and grafting of thigh skin onto the penis. The photos are 3 months postoperation. The residual penile swelling will decrease over the next 1-2 years.



 

Pre Op Post Op


 

 


 

 

 

 

 

 


 



Feel welcome to contact Beverly Hills / Manhattan Plastic Surgeon Dr. Gary Alter to make an appointment at either his Beverly Hills, California or Manhattan, New York Plastic Surgery Office: (310) 275-5566 or email the Plastic Surgeon at altermd@altermd.com

Penis / Scrotal Surgery

Hypospadias
Epispadias
Congenital Curvature
Buried/Hidden Penis
Penile Implants
Peyronie's Disease
Testicle Implants
Scrotum Reduction
Penis & Scrotum Reconstruction
Trauma
Intersex


Office Locations

California
416 North Bedford Drive
Suite 400
Beverly Hills, CA 90210
t) 310.275.5566
f) 310.271.0521
altermd@altermd.com 

New York
461 Park Avenue South
7th Floor Suite
New York, NY 10016
t) 310.275.5566
f) 310.271.0521
altermd@altermd.com