A “hidden” or “buried” penis refers to a penile shaft that is buried below the surface of the penile skin and also to a partially or totally obscured penis. There are numerous causes of a hidden or a buried penis including congenital, obesity, aging with an overlying fold of abdominal fat and skin, a shortage of penile skin from chronic inflammation, or an overly aggressive circumcision.
A congenital buried penis is rare. It includes an abnormally large pubic fat pad and firm tissue that pulls the penis inward. In addition, there is a congenital lack of attachments of shaft skin to the penile shaft. In a normal infant or child with congenital buried penis, inadvertent removal of excess normal shaft skin during circumcision can leave a variable amount of foreskin and a shortage of shaft skin. If the circumcision line is placed too far from the head of the penis, normal shaft skin is removed and foreskin is left to cover the shaft. Since foreskin does not have normal attachments to the deeper shaft, the buried penis is created or made worse. In addition, the incision line can narrow upon healing, further burying the penis by pushing it downward into the pubic fat.
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