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Hidden Penis ExamplesA 35 year old patient with concealed penis who underwent removal of lower abdominal skin and fat, elevation of his pubis, partial release of the suspensory ligament, and suturing of the skin of the abdomen and scrotum to the erectile bodies. A) Preoperation
Figure 2: These techniques stabilize the erection bodies to the overlying skin. A) The technique of tacking the skin above the penis to the underlying tissue. This prevents the penis from disappearing into the pubic region. B) The technique of tacking the skin at the junction of the scrotum to the penis. This prevents the penis from disappearing into the scrotum.
49 year old male never had intercourse due to a severe hidden penis caused by congenital buried penis, a hip deformity, and excess weight. He underwent a pubic lift with fat removal and tacking. He also underwent penoscrotal tacking with web correction. He is now able to have intercourse.
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.
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.
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Copyright © 2004 Board
Certified Beverly Hills Plastic Surgeon & Board Certified Urologist Gary J. Alter, MD,
Beverly Hills, CA
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