Modified prepuce unfurling for buried penis: A report of 12 years of experience

Abstract

Background/Objective: About 10 years ago, we started to correct buried penis using the technique of modified prepuce unfurling. We have made modifications in the years since our preliminary results were reported in 2002. Methods: One hundred and thirty-four patients received modified prepuce unfurling since 2000, with ages ranging from 2 months to 33 years. The surgical procedures included the removal of the narrowest part of the prepuce, dissection of the fibrotic tissue from the Buck's fascia, and unfurling the inner prepuce to cover the penis. Most patients had their procedures in day care service. No urinary catheter was needed. All patients were followed up for at least 2 months. Results: Most patients had satisfactory results. All patients had the glans exposed after surgery, although one patient needed reoperation for prolonged edema and two patients had wound infections. Conclusion: Modified prepuce unfurling is a safe and effective method to correct buried penis.

Keywords

• buried penis
• concealed penis
• hidden penis
• phimosis
• prepuce