A buried penis in children is a condition where the penis is hidden or appears abnormally small, even though it is of normal size. This condition may be present from birth (congenital) or may develop due to circumcision-related complications or obesity. Though often mistaken for a small penis, it’s actually concealed within the surrounding tissues.
When left uncorrected, a buried penis can lead to urinary problems, infections, poor hygiene, and psychological distress. In such cases, early consultation with a skilled pediatric urologist in Nagpur, like Dr. Sadashiv Bhole, is essential for accurate diagnosis and timely treatment.
What is a Buried Penis?
- A buried penis is a condition in which the shaft of the penis is partially or completely hidden beneath the skin of the pubic area, despite being of normal length
- It is usually diagnosed in infants or young boys
- The penis may only be visible when stretched manually
Causes of Buried Penis in Children
- Congenital (from birth) – loose or excessive skin at the base of the penis
- Obesity – fat in the pubic area pushes the penis inward
- Tight or redundant prepubic skin
- Abnormal attachment of penile skin or scrotal skin
- Post-circumcision complications – scarring or improper technique
- Foreskin-related issues – phimosis or adhesions
Symptoms and Concerns
- Penis appears small or absent
- Child may strain during urination
- Spraying urine stream or painful urination
- Ballooning of foreskin while urinating
- Frequent urinary tract infections (pediatric UTI) due to poor hygiene
- Difficulty in cleaning the penis, leading to foul-smelling urine
- In older children, may cause low self-esteem or psychological distress
Complications if Left Untreated
- Chronic foreskin inflammation or infection
- Voiding problems, daytime wetting, or bedwetting
- Urinary retention due to obstruction
- Recurrent UTIs
- Social embarrassment or future intimacy issues
- Risk of meatal stenosis or skin bridging post-circumcision
Diagnosis of Buried Penis
A thorough examination by a pediatric urology specialist is key. Evaluation includes:
- Clinical observation of penile length and prepubic fat distribution
- Examination during urination to assess stream and spraying
- Ultrasound (if associated with urinary retention or hydrocele)
- No invasive testing is usually required
Treatment for Buried Penis in Children
Observation (Mild Cases)
- In infants, minor cases may resolve with age
- Proper hygiene and monitoring of penile development
- Weight management if obesity is a contributing factor
Surgical Correction (Moderate to Severe Cases)
Performed by an experienced pediatric urology surgeon like Dr. Bhole:
- Penile degloving and release of adhesions
- Reattachment of skin at the correct anatomical position
- Liposuction or removal of excess fat/skin if required
- Correcting penoscrotal webbing if present
- Day-care surgery with quick recovery and excellent cosmetic outcomes
Postoperative Care
- Mild swelling or bruising for a few days
- Use of antibiotic ointment and anti-inflammatory medications
- Avoid strenuous activity for 7–10 days
- Maintain hygiene and monitor for recurrence
- Follow-up to ensure proper healing and penile exposure
A buried penis is more than a cosmetic issue—it can affect a child’s urinary health, hygiene, and emotional well-being. With the right evaluation and timely surgical correction, children can enjoy normal function, growth, and confidence.
For expert care in pediatric genital reconstruction, consult Dr. Sadashiv Bhole, one of the most respected pediatric urologists in Nagpur, delivering safe and advanced surgical solutions.
