SS  Vol.5 No.7 , July 2014
Management of Post-Circumcision Trapped Penis with Glanular Amputation
Abstract: A phenomenon known as trapped penis has numerous origins, including injudicious circumcision. Materials and Methods: Surgery for trapped penis with glanular amputation was performed for 5 children. The surgical policy in these cases included complete penile degloving, excising the scarring due to circumcission, fixing the penile skin at the penopubic and penoscrotal angles and reconstructing the penile skin with full thickness skin graft. Results: Improvement was noted in all cases. Conclusion: Surgery for hidden penis using full thickness skin graft achieves very satisfactory aesthetic and functional improvement.
Cite this paper: Tolba, A. , Nasr, M. , Abohashem, A. , Abd-Elnaby, M. and Ibrahim, E. (2014) Management of Post-Circumcision Trapped Penis with Glanular Amputation. Surgical Science, 5, 309-313. doi: 10.4236/ss.2014.57052.

[1]   Weiss, H.A., Larke, N., Halperin, D. and Schenker, I. (2010) Complications of Circumcision in Maleneonates, Infants and Children: A Systematic Review. BMC Urology, 10, 2.

[2]   WHO/UNAIDS (2008) Male Circumcision: Global Trends and Determinants of Prevalence, Safety and Acceptability. World Health Organization.

[3]   Kaplan, G.W. (1983) Complications of Circumcision. Urologic Clinics of North America, 10, 543-549.

[4]   Lerman, S.E. and Liao, J.C. (2001) Neonatal Circumcision. Pediatric Clinics of North America, 48, 1539-1557.

[5]   Williams, N. and Kapila, L. (1993) Complications of Circumcision. British Journal of Surgery, 80, 1231-1236.

[6]   Gluckman, G.R., Stoller, M.L., Jacobs, M.M. and Kogan, B.A. (1995) Newborn Penile Glans Amputation during Circumcision and Successful Reattachment. Journal of Urology, 153, 778-779.

[7]   Chopra, C.W., Ayoub, N.T., Bromfield, C. and Witt, P.D. (2002) Surgical Management of Acquired (Cicatricial) Buried Penis in an Adult Patient. Annals of Plastic Surgery, 49, 545-549.

[8]   Palmer, J.S., Elder, J.S. and Palmer, L.S. (2005) The Use of Betamethasone to Manage the Trapped Penis Following Neonatal Circumcision. Journal of Urology, 174, 1577-1578.

[9]   Alter, G.J. and Ehrlich, R.M. (1999) A New Technique for Correction of the Hidden Penis in Children and Adults. Journal of Urology, 161, 455.

[10]   Smeulders, N., Wilcox, D.T. and Cuckow, P.M. (2000) The Buried Penis—An Anatomical Approach. BJU International, 86, 523-526.

[11]   Espinosa, Ch.G., Castro, D.C. and Abril, R. (2011) Concealed Penis: Surgical Management. Revista Mexicana de Urología, 71, 128-131.

[12]   Raboei, L. (2003) Surgical Management of a Concealed Penis. Saudi Medical Journal, 24, 550-552.

[13]   Khaled, A.I. (2009) Surgical Correction of Concealed Penis. Annals of Pediatric Surgery, 5, 261-267.

[14]   Donatucci, C.F. and Ritter, E.F. (1998) Management of the Buried Penis in Adults. Journal of Urology, 159, 420-424.

[15]   Chuang, J.H. (1995) Penoplasty for Buried Penis. Journal of Pediatric Surgery, 30, 1256-1257.

[16]   Borsellino, A., Spagnoli, A., Vallasciani, S., Martini, L. and Ferro F. (2007) Surgical Approach to Concealed Penis: Technical Refinements and Outcome. Urology, 69, 1195-1198.

[17]   Brisson, P., Patel, H., Chan, M. and Feins, N. (2001) Penoplasty for Buried Penis in Children: Report of 50 Cases. Journal of Pediatric Surgery, 36, 421-425.

[18]   Gillett, M.D., Rathbun, S.R., Husmann, D.A., Clay, R.P. and Kramer, S.A. (2005) Split-Thickness Skin Graft for the Management of Concealed Penis. The Journal of Urology, 173, 579-582.

[19]   Chuang, J.H., Chen, L.Y., Shieh, C.S. and Lee, S.Y. (2001) Surgical Correction of Buried Penis: A Review of 60 Cases. Journal of Pediatric Surgery, 36, 426-429.

[20]   Ratner, D. (1998) Skin Grafting from Here to There. Dermatologic Clinics, 16, 75-90.

[21]   Robson, M.C. and Krizek, T.J. (1973) Predicting Skin Graft Survival. Journal of Trauma-Injury Infection & Critical Care, 13, 213-217.

[22]   Borsellino, A., Spagnoli, A., Vallasciani, S., Martini, L. and Ferro, F. (2007) Surgical Approach to Concealed Penis: Technical Refinements and Outcome. Urology, 69, 1195-1198.

[23]   Wilson, C. and Wilson, M. (1959) Plastic Repair of the Denuded Penis. Southern Medical Journal, 52, 288-290.

[24]   Black, P.C., Friedrich, J.B., Engrav, L.H. and Wessells, H. (2004) Meshed Unexpanded Split-Thickness Skin Grafting for Reconstruction of Penile Skin Loss. The Journal of Urology, 172, 976-979.