Treatment of Concealed Penis: Adjunctive Suprapubic Lipectomy

Cho, Jin Seon; Kim, Kyung Ahn; Lee, Sang Kon

Abstract

The concealed penis is caused by a prominent suprapubic fat pad in addition to the restrictive fibrous bands of the dartos fascia fixing the shaft of the penis proximally. Anchoring of the skin of the base of the penis to the periosteum of the pubis only does not satisfy the obese patients with concealed penis because the suprapubic fat concealed the penis. We treated 4 obese patients with concealed penis by removing the suprapubic fat and anchoring the skin of the base of the penis to the pubic symphysis. All penes project adequately, and the patient's socialization status and self-image are improved. One patient felt moderate pain in the suprapubic area for 3 months after operation. Other complications such as infection, hemorrhage, and lymphorrhea have not been seen in our practice. We consider that excision of suprapubic fat with sectioning of the tethering dartos bands should be added to anchoring of the skin of the base of the penis to the periosteum of the pubis. Suprapubic lipectomy to excise suprapubic fat seems simple and satisfying. Additional liposuction may be valuable in contouring the adjacent abdominal fat.