Penile retraction surgery in boys

This is an automatically translated article.

The article was professionally consulted by Specialist Doctor II Tran Van Trong - Specialist in Pediatric Surgery, Plastic Surgery - Aesthetics - Department of General Surgery - Vinmec Danang International Hospital.

1. What is Penis Burial?

Penile retraction is a congenital anomaly of the external genitalia, manifested in the body of the penis and glans penis buried in the foreskin, which is continuous with the scrotum, so it does not protrude from the prepubic skin and causes difficulties. when urinating. If this defect is not treated, it can cause urinary effects such as recurrent UTIs, fibrous balanitis, and obstruction.

2. Manifestations of penile subsidence

Manifestations of penile dimples are small, short penis, sinking deep into the pubic area, the body of the penis is retracted behind, only the skin covering the penis and the foreskin is narrow. Children with penile depression must press on the pubic area to make the penis protrude when urinating, so it affects the urinary function, genitals and aesthetics of the child.
The diagnosis of penile depression is often confused with stenosis of the foreskin and is more dangerous than performing circumcision of the child. For children with this birth defect, the foreskin covers the body of the penis when reshaping and lengthening the penis is performed.

3. How to identify a child with a deformity of the penis?

The child's penile depression can be determined by the following ways:
When the child's penis is not erect, the skin of the penis can still be seen from the upper border of the pubic bone upwards. Only when the foreskin is pulled toward the pubic bone can the penis be seen. When the child's penis is erect, the part of the penis that protrudes from the pubic bone is short, but the skin of the penile canal sags. When examining the penis, it is necessary to press the finger at the base of the penis to pull the skin of the penis and foreskin toward the pubic bone to determine the penis body. mu.

4. Penile subsidence surgery in boys

Penile burial is a birth defect that is detected right after birth, so the time of surgery to treat this defect depends on many factors such as the time of detection, complications, surgery time, and surgical results. how.
For children with a thick layer of fat in the pubic area, it is necessary to follow a correct diet, exercise if in older children and guide the child to gradually dilate the foreskin. At puberty, surgery can be done to trim the fat on the pubic area and around the penis.

For children with penile depression due to the fibrous strip pulling down the shaft of the penis, it is necessary to guide the gradual dilation to widen the foreskin. Perform surgery to release and lengthen the penis from 1-2 years old. Penile depression surgery is performed on the principle of freeing the penis body from the abnormally thickened, fibrous skin. The average surgical time with this technique was 38.45 minutes. The rate of complications after surgery to treat penile inclusions is quite low. The most common is edema and a few cases of mild complications such as bleeding, infection. Edema is a complication that occurs most often is a cause for concern because it causes concern for the parents of the child, and it can also cause complications of excess mucous membrane of the foreskin later on. Edema may be due to the dermal duct of the penis not being wide enough, but mainly due to residual foreskin mucosa.
Penile entrapment in newborns is a birth defect that can be seen at birth; If examined by an experienced pediatrician, it will be detected immediately by the abnormal shape of the penis, characterized by a very short or absent penile canal. The detection and surgical treatment of penile depression will work to reduce discomfort and limit bad complications that may occur to the child.
Vinmec International General Hospital is the address for medical examination, treatment and screening of both mother and baby after birth. With a system of modern machinery and technology, a team of qualified and well-trained doctors will soon detect health abnormalities as well as birth defects of the baby right after birth. From there will give advice as well as the best treatment for the child.
As a key area of ​​Vinmec Health system, Pediatrics Department always brings satisfaction to customers and is highly appreciated by industry experts with:
Gathering a team of top doctors and nurses in Pediatrics : consists of leading experts with high professional qualifications (professors, associate professors, doctorates, masters), experienced, worked at major hospitals such as Bach Mai, 108.. Doctors All doctors are well-trained, professional, conscientious, knowledgeable about young psychology. In addition to domestic pediatric specialists, the Department of Pediatrics also has the participation of foreign experts (Japan, Singapore, Australia, USA) who are always pioneers in applying the latest and most effective treatment regimens. . Comprehensive services: In the field of Pediatrics, Vinmec provides a series of continuous medical examination and treatment services from Newborn to Pediatric and Vaccine,... according to international standards to help parents take care of their baby's health from birth to childhood. from birth to adulthood Specialized techniques: Vinmec has successfully deployed many specialized techniques to make the treatment of difficult diseases in Pediatrics more effective: neurosurgery - skull surgery, stem cell transplantation. blood in cancer treatment. Professional care: In addition to understanding children's psychology, Vinmec also pays special attention to the children's play space, helping them to have fun and get used to the hospital's environment, cooperate in treatment, improve the efficiency of medical treatment. To register for examination and treatment with Pediatricians at Vinmec International General Hospital, please click the "Contact Us" button on the website or register online HERE.