One of the things that most commonly disturbs parents after circumcision is the cosmetic appearance of the child's penis.
Especially in overweight children, after circumcision, the penis may gradually escape under the skin and sometimes may not be visible at all. This condition is called buried penis.
Children with buried penis can often be considered as having short penis or micro penis and further examinations can be performed. In general, children's penis size is normal, but since the ligaments that keep the penis outside are not sufficiently developed in the child, it escapes inside. This condition occurs due to a congenital abnormality and the ligaments that hold the penis out are incorrectly attached to the foreskin instead of the body of the penis. When the foreskin is cut off, the penis escapes into the body because the ligaments are cut. Since the subcutaneous tissue is thicker in overweight children, the appearance appears more sunken.
Although the situation is more common in newborn circumcisions, it can be observed that the penis grows out on its own until age. However, the buried penis is not expected to improve with age. It is recommended that surgical repair be performed before the onset of puberty.
The complaint of children and parents is that their penis looks smaller than their peers and there may also be a smell of urine due to urine remaining under the skin. As the situation may become more evident with advancing ages, sexual and psychological problems may also arise in adult life.
Impacted penis repair is often performed by fixing the penis root to the surrounding tissues with stitches, in an operation similar to circumcision. The procedure is a daily procedure and there is no special dressing. However, since the procedure is performed in an area very close to the penile nerves, it is recommended that it be performed by very experienced pediatric urology specialists. After the procedure, the child can start bathing within 2 days and fully regains his/her old self on the 7th day. Although the results are quite successful in the first period, regression may occur again in children who gain weight very quickly and new operations may be required as they gain weight.
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