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.