Inconspicuous penis is a group of symptoms that can make penis body not be showed normally instead of a kind of simple disease. They are presented with conclude concealed penis, buried penis, webbed penis and trapped penis. Most of them are resulting from congenital abnormality except the trapped penis. The diminutive penis caused by hypospadia and intersex and micropenis resulted from endocrine disease does not belong to this category. Pathological changes of concealed penis, buried penis and webbed penis are congenital but trapped penis is caused by acquired reasons. It's not difficult to make the diagnosis by the pathological and clinical manifestations. According to different age's indication, type and severity of the disease, corresponding surgery method ought to be chosen and the curative effect can be obtained.
Child ; Humans ; Male ; Penile Diseases ; congenital ; diagnosis ; therapy ; Penis ; abnormalities

Penile fracture is an uncommon injury resulting from a direct blow to the erect penis. The authors experienced 6 cases of penile fracture recently and reviewed the literature. We performed immediate exploration with suture closure of the defect in all cases. None of the patients had penile deformity and all retained erectile potency. One of the two patients on whom primary end-to-end anastomosis was performed due to urethral rupture had mild urethral stricture. Therefore, we advocate early surgical repair of the penile fracture.
Congenital Abnormalities ; Humans ; Male ; Penis ; Rupture ; Sutures ; Urethral Stricture

Penile fracture is an uncommon injury resulting from a direct blow to the erect penis. The authors experienced 6 cases of penile fracture recently and reviewed the literature. We performed immediate exploration with suture closure of the defect in all cases. None of the patients had penile deformity and all retained erectile potency. One of the two patients on whom primary end-to-end anastomosis was performed due to urethral rupture had mild urethral stricture. Therefore, we advocate early surgical repair of the penile fracture.
Congenital Abnormalities ; Humans ; Male ; Penis ; Rupture ; Sutures ; Urethral Stricture

Stricture of the prostatomembranous urethra following pelvic fractures presents major problems in surgical management owing to their relatively inaccessible position above the urogenital diaphragm and behind the pubis. In 1973 Waterhouse and associates described transpubic approach to posterior urethral stricture, which has been usefully modified by Blandy as partial pubectomy for urethroplasty. Blandy`s method gives the extra room which needed to effect a tension-free anastomosis between bulbar and prostatic urethra and which was easily provided by taking away an arch of bone from the inferior of the symphysis. This method leaves pelvic ring intact, so avoids (a) subsequent pelvic instability and (b) the deformity that may result if an entire segment of symphysis is taken out and the penis falls into the defect. Our experience with 8 such cases has convinced us of the superiority of partial pubectomy for urethroplasty.
Congenital Abnormalities ; Constriction, Pathologic ; Diaphragm ; Male ; Penis ; Urethra ; Urethral Stricture

Male ; Humans ; Consensus ; Genital Diseases, Male ; Penis/abnormalities*

OBJECTIVETo investigate the clinical effect of Devine's technique with free skin grafting in the treatment of concealed penis with prepuce deficit.

METHODSThis study included 7 children with concealed penis, aged 6 - 15 (mean 8.6) years, 6 of them treated by circumcision previously. All the patients underwent Devine's operation to resect the inelasticity sarcolemma and lengthen the penis. The length of prepuce deficit ranged from 2 to 4 cm. Intermediate split thickness skin grafts of the corresponding length were taken from the femoribus internus to wrap up the tunica albuginea penis, followed by the procedures of saturation, encapsulation and fixation.

RESULTSSurgery time ranged from 70 to 120 minutes, averaging 90.5 minutes. The penis was prolonged about 2 - 4 cm after surgery. A 6-month follow-up revealed desirable penile appearance and normal penile erection.

CONCLUSIONDevine's technique with free skin grafting from the femoribus internus is an ideal treatment for concealed penis with prepuce deficit.

Adolescent ; Child ; Foreskin ; abnormalities ; surgery ; Humans ; Male ; Penis ; abnormalities ; surgery ; Skin Transplantation ; Surgery, Plastic ; methods ; Surgical Flaps

OBJECTIVETo establish a stable rat experimental model of concealed penis for studying the effect of buried penis on the structure and function of the corpus cavernosum.

METHODSNinety male SD rats, aged 2 weeks, were randomly divided into 3 groups (A, B and C) of equal number. Groups A and B underwent surgery with intra-purse suture of the penile root and folding suture of the prepuce, respectively, to bury the penis, while Group C were included as sham operation controls.

RESULTSIn Group A, death resulted in 4 cases from acute post-operative urine retention, failure in burying the penis occurred in 5 cases because of soft tissue ulceration around the urethral orifice and in another 3 due to loose concealment. In Group B, 1 died from deep anesthesia and 2 from acute post-operative urine retention. With the penile development and erection, 7 in Group A and 10 in Group B protruded the penis in different stages. In Group C, 1 died from deep anesthesia. The operations succeeded in all the other rats in Groups A and B, with the success rates of 36.7% and 56.7%, respectively. And the concealment could be relieved any time during the experiment.

CONCLUSIONThe experimental rat model of concealed penis can be successfully established by both intra-purse suture of the penile root and folding suture of the prepuce, which is stable and similar to the natural course of this disorder in human.

Animals ; Disease Models, Animal ; Humans ; Male ; Penis ; abnormalities ; surgery ; Random Allocation ; Rats ; Rats, Sprague-Dawley ; Urogenital Abnormalities

OBJECTIVETo evaluate some currently used surgical approaches to the correction of congenital penile curvature.

METHODSSeventy-six patients with congenital penile curvature underwent surgical correction, of whom 67 were accompanied with hypospadias, 5 with epispadias and 4 with normal urethral meatus. The methods for straightening the phallus included 5-week preoperative hCG treatment, complete degloving of penile skin, release of periurethral fibrous bands extending proximally to the meatus, plication of dorsal or ventral tunica albuginea, and embedding of dermis and tunica vaginalis grafts.

RESULTSAll the cases were followed up for 2 months to 2 years, and the mean follow-up time was 9.3 months. Satisfactory phallus straightening was achieved in 67 cases (88%), mild residual chordee remained in 6 (8%), which needed no reoperation for the time being unless warranted by follow-up, and relapse occurred in 3 (4%), which needed further operation.

CONCLUSIONMost cases of congenital penile curvature can be corrected sufficiently with the above methods.

Child ; Child, Preschool ; Follow-Up Studies ; Humans ; Infant ; Male ; Penis ; abnormalities ; Urogenital Abnormalities ; surgery ; Urologic Surgical Procedures, Male ; methods

OBJECTIVETo search for a simple surgical procedure for the treatment of concealed penis that may have better effect and less complications.

METHODSWe used a modified surgical method in the treatment of 58 patients with concealed penis aged from 3 to 15 (mean 6.8) years. The operation was simplified and involved the following steps: wholly unveiling the penis glans, half-degloving the foreskins, cutting off all the adhesive fibers up to the penile suspensory ligaments, and liberating the external penis.

RESULTSThe operation was successful in all the patients, with the operative time of 15 -45 (mean 33) minutes, hospital stay of 2 - 5 (mean 3.5) days, but no complications except mild foreskin edema in 5 cases. The external penis was prolonged from 0.5 - 2.8 (mean 1.4) cm preoperatively to 3.2 - 8.5 (mean 3.9) cm postoperatively. The patients were followed up for 1 -3 years, all satisfied with the length and appearance of the penis, and their sexual and reproductive functions were normal.

CONCLUSIONThe modified surgical procedure for concealed penis is simple and effective, with desirable outcomes, few postoperative complications and no damage to sexual and reproductive functions.

Adolescent ; Child ; Child, Preschool ; Foreskin ; surgery ; Humans ; Male ; Penis ; abnormalities ; surgery ; Reconstructive Surgical Procedures ; methods

OBJECTIVETo discuss the diagnosis of pediatric concealed penis and evaluate the results after the correction of the pediatric concealed penis.

METHODSTwenty patients with pediatric concealed penis were treated by using a modified Devine's technique.

RESULTSThe appearance with a straightening penile was achieved in all of the patients. All of the patients recovered well after the operation without any complications.

CONCLUSIONSThe modified Devine' s technique could be a safe and effective method for the correction of the pediatric concealed penis with satisfactory outcome.

Adolescent ; Child ; Humans ; Male ; Penis ; abnormalities ; Reconstructive Surgical Procedures ; methods ; Skin Transplantation ; Surgical Flaps