Buried Penis Repair

A buried penis is one of normal size that is hidden beneath the skin and fat of the pubic area, scrotum or abdomen. In adults the usual causes are obesity, a scarring skin condition called lichen sclerosus, lymphoedema, or a circumcision that removed too much skin. Repair releases the penis, removes the overhanging tissue and re-covers the shaft with healthy skin.

Surgery restores visibility, hygiene, the ability to pass urine standing and sexual function. It does not lengthen the penis itself, and if weight is regained the problem can return.

What Buried Penis Repair involves

The surgeon first frees the shaft from scar and tethered skin down to its base. Diseased skin affected by lichen sclerosus is cut away. The pad of fat over the pubic bone is removed (escutcheonectomy), and an overhanging abdominal apron is excised as a panniculectomy if present. The skin at the base of the penis is then anchored with stitches to the deep tissue at the pubic bone and at the junction with the scrotum, so it cannot slide forward again. If enough healthy shaft skin remains it is used for cover; if not, a split-thickness skin graft from the thigh is wrapped around the shaft and held with a dressing or vacuum device. A scrotal reduction is added when needed.

Who is a good candidate for Buried Penis Repair?

For adult men whose trapped penis causes infections, urine soiling, painful erections or inability to have intercourse.

• Recurrent skin infection or inflammation under the trapped skin
• Spraying or dribbling urine that soils clothing
• Lichen sclerosus with scarring, after biopsy
• Men who have lost weight, for example after bariatric surgery, and have a stable BMI
• Penile entrapment after over-generous circumcision

It is usually not the right choice if:

• Active uncontrolled skin infection or very poorly controlled diabetes
• Current smokers, because grafts and flaps fail more often
• Men expecting an increase in true penile length
• Those still gaining weight or planning bariatric surgery soon, who are better treated afterwards
• Children: congenital concealed penis is a different condition managed by paediatric urologists

الخيارات التقنية

• Release and anchoring alone: For mild cases with healthy skin.
• Escutcheonectomy with or without panniculectomy: Removal of the pubic fat pad and abdominal apron in obesity-related cases.
• Split-thickness skin grafting: Standard cover for the shaft when lichen sclerosus or scarring has destroyed native skin.
• Scrotoplasty or lymphoedema excision: Added for a web of scrotal skin or a massively swollen scrotum.
• Urethral surgery: Meatotomy or urethroplasty when lichen sclerosus has also narrowed the urethra.

ماذا يحدث خلال علاجك

The operation takes 2 to 5 hours under general anaesthesia, often with a urologist and a plastic surgeon working together. You wake with a catheter, drains and a bulky or vacuum dressing over any graft, and stay 2 to 5 nights, initially on bed rest if grafted.

الإعداد لرحلتك

Plan for 14 to 21 days in Istanbul. Your surgeon reviews photographs and your medical history before you book, and you meet in person the day before surgery for examination, marking and consent with a professional interpreter.

• Stop smoking and nicotine at least four weeks before and after surgery; it is the single biggest avoidable cause of wound problems
• Tell the team about every medicine and supplement you take; blood thinners, some herbal products and hormone treatment may need to be paused on your doctor's advice
• Arrange for someone to travel with you or to be reachable, and keep the first days at home free of work and lifting
• Book a changeable return flight; your surgeon confirms when you are fit to fly

التعافي والنتائج

Graft dressings come off at about 5 days and the catheter shortly after. The thigh donor site feels like a graze for 2 weeks. Wounds in the groin folds are slow to heal and minor separation is common, needing dressings for some weeks. Avoid sex and heavy activity for 6 weeks. Grafted skin looks different in colour, has no hair and has reduced fine touch, though erection and orgasm are generally preserved.

• Back to everyday activity: 4 to 6 weeks
• When results show: Visible at once; final appearance at 3 to 6 months
• How long they last: Lasting if weight stays stable

سياسة السلامة والمخاطر والتنقيح

Wound problems are frequent in this group of patients, while serious complications are uncommon.

• Wound separation or infection, in up to a third of obese patients
• Partial loss of a skin graft needing dressings or regrafting
• Seroma or haematoma under the pubic wound
• Recurrence of burying if weight increases or anchoring stitches give way
• Reduced skin sensation on the shaft
• Penile lymphoedema or swelling that is slow to settle
• Blood clots in the legs or lungs, given long surgery and obesity

Every written proposal arranged through Clinic-Y states what the clinic covers if a correction is needed. Ask for it before you book, not after.

Cost of Buried Penis Repair in Türkiye

Clinic-Y does not publish a single price for Buried Penis Repair, because the honest figure depends on your case. What moves it:

• Extent: release alone versus panniculectomy and grafting
• Two surgical teams and operating time
• Vacuum dressings and nights in hospital
• Treatment of urethral stricture if present

Send your photographs or reports and you receive written, all-inclusive proposals from suitable teams, side by side. Reviewing your case is free.

الأسئلة المتكررة