Extract

Objective

A concealed penis is a condition where part of or the whole of the penile shaft is invisible below the surface of the prepubic skin. Dermolipectomy can correct this condition, though involving a long abdominal crease incision, or infrapubic incision around the base of the penis, and a possibility for genital lymphedema. The present work describes Shaeer’s technique, a minimally invasive method for revealing the concealed penis.

Methods

A 1cm long incision was cut just medial to the anterior superior iliac spine (ASIS) on either side. A long curved blunt forceps was inserted from one incision, down to the base of the penis then up to the contralateral ASIS. A 5mm-wide non-absorabable tape was picked up by the forceps from one incision and pulled through to emerge from the other. Pulling on the tape cephalad pulled the mons pubis and revealed the penis. The tape was sutured to the periosteum overlying the ASIS on either side. Patients were discharged the same day, allowed to resume sexual intercourse 7-10 days post-operatively and followed up for up to 18 months.

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