Buried Penis



Icon Content Advisory: This page includes images of child patients. Some aspects of the condition Buried Penis can only be illustrated with reference to a child patient.



Buried Penis is a minor congenital defect attributable to a short suspensory ligament within the abdomen; it causes the shaft of the penis to withdraw into the body. In rare cases this condition can be accompanied by bilateral cryptorchidism, giving the appearance of a near total absence of genitalia when, in fact, everything exists but is merely mis-placed. The following images illustrate buried penis in a young boy with normally descended testes:

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buriedpenis-03 (19620 Bytes)

[All the above photos © 2009 Chulalongkorn University]



Whilst the condition is regarded by many as a contra-indication to neonatal circumcision, it is routine for Islamic boys with buried penis to be circumcised during the early stages of puberty. The following images of a somewhat obese patient, kindly provided by the Malaysian company Sunathrone Bio-Medical, show such a circumcision being done using their patent disposable clamp. The clamp design is especially suited to this task; the wide flange of the part worn during the healing period prevents the glans withdrawing into the abdomen where skin bridges might otherwise be formed.


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Top Left and Top Middle : Uncircumcised, flaccid.

Top right and centre left : Uncircumcised, semi-erect.

Centre middle : Sunathrone clamp applied (a dorsal slit was required).

Centre right : Part-way through the circumcision. Note the white fat layer visible on the inside face of the inner foreskin.

Bottom left : Done! The clamp stays in place typically for 5 days.



Acknowledgements

The following resources were used in the preparation of this web page:
Thai flag Chula's logo The Online Learning facilities of Chulalongkorn University Faculty of Medicine, Bangkok.
Malaysia flag Sunathrone new logo (5253 bytes) The photo library of Sunathrone Biomedical.




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