In some cases, some conditions can cause a penis, that is otherwise usually of normal lenght, to appear as burried within the pubic area. These conditions can be;
-excess fat on the pubic area
-circumcision gone bad
-problems with ligaments
-fluid retention on the pubic area
Regardless of the reason, this ailment can cause some complications in the daily life and sexual life of males of all ages. Due to the positioning of the penis and the surrounding skin tissue, urine may frequently hit the thighs or scrotum. This can cause skin irritation and urinary track infections. Additionally Skin of the penis can also be inflamed. Infections such as balanitis can be common due to hygene challenges caused by the surrounding skin.
A buried penis will also make it more difficult for adolescent and adult males to achieve a healthy erection. Even if the erection occurs, it may still make the sexual intercourse more challenging.
Psychological problems such as low self-esteem, depression and anxiety can be common in males with buried penis problem as well.
Buried penis can be diagnosed with ease. A surgeon should be able to distinguish a buried penis from a micropenis. You should consult to a surgeon if you or your child has syptoms of buried penis.
There can different solutions to the buried penis problem depending on the cause. For children and adults that are morbildy obese, weight loss can be a solution. Or in some cases for very young children, the problem may resolve in time without any intervention. However, in some cases the problem won't resolve on it's own and the weight loss also might not be enough.
In these cases, surgery is recommended. Surgeon will be able to recommend the correct surgery option depending on the patient's condition, and the required operation can be;
- detaching the ligaments that connect the base of the penis to the pubic bone
- performing skin grafts to address the lack of skin on the penis due to a circumcision that removed too much skin
- liposuction around the penis
- tummy tuck operation that removes the excess fat and skin tissues on the abdominal and pubic area
- panniculectomy, which removes the pannus, the excess tissue and skin that hang over the genitals and thighs
- escutheonectomy, removal of the fat pad above the pubic area
Antibiotic use can be necessary if there's infection in the genital area. Additionally, psychological counseling can be recommended if the patient's self esteem had been effected by the condition.
The aim of this article is to give you a general information about the surgical intervention in question. You need to make more research about possible complications and risks of this selected procedure in order to make an informed decision. Please note that complications occur more frequently with patients who are obese, smoke, and have a history or lung or other chronic underlying medical conditions.
Smokers are recognized to have a significantly higher risk of post operative wound healing problems with a subsequently higher potential of infection as well as operative and post operative bleeding. Patients should discontinue smoking for two weeks before and two weeks after surgery. Although it helps to stop smoking before and after surgery, this does not completely eliminate the increased risks resulting from long term smoking. Smoking also has a long term adverse effect on the skin and ageing process.