Background
anomaly, voiding difficulties, congenital anomaly, phimosis
PENIS, PATHOLOGY, PATHOGENESIS
The concealed penis is a congenital anomaly in which a normal size penis is hidden in the pre-pubic fat with the glans penis that does not project from the pubic or scrotal skin (Fig. Concealed penisThe pathogenesis of this anomaly was attributed to an excessive development of the penile dartos fascia retracting the penis inwards, an insufficient attachment of the penile skin to the deep penile tissues at the penile base, and/or tight phimosis which is often present. Also, excessive pre-pubic fat is usually present and worsens the appearance of the abnormality but does not explain the pathology by itself [Another variety of buried penis is the congenital mega-prepuce in which a redundant inner preputial skin covers the glans penis in an average size penis in association with severe phimosis. These patients usually complain of voiding difficulties as the urine traps in the redundant dome-like mega-prepuce. This variety requires different treatment modalities [The difference in the outcome of different corrective techniques for correction of the concealed penis was not compared widely in the literature. So, the aim of this study is to compare the outcome of three different surgical techniques used in the management of such conditions in the pediatric age group. The 1st technique is in the form of anchoring the penile skin dermis to Buck's fascia (phallopexy) at the penile base, the 2nd one is in the form of complete dissection and excision of dartos fascia and the 3rd technique is in the form of phallopexy in association with complete dissection and excision of dartos fascia.