局部麻醉下行龜頭露出術處理慢性包皮炎引發之陰莖包埋
曾仁澍1、陳建志1,2、林文州1、邱文祥1,2,3
1台北馬偕紀念醫院 泌尿科；1馬偕醫學大學醫學院；1陽明大學醫學院
Simple glans unconcealment for chronic posthitis
Induced buried penis under local anethesia
Jen-Shu Tseng1, Chien-Chih Chen1,2, Wen-Chou Lin1, Prof. Allen W. Chiu,1,2,3
1Department of Urology, Mackay Memorial Hospital, Taipei, Taiwan
2School of Medicine, MacKay Medical University, Taiwan
3School of Medicine, National Yang-Ming University, Taiwan
Objectives: Reporting a case with acquired concealed penis which was managed with dorsal and ventral slit as an ambulatory surgery.
Case presentation: A 65 year-old with uncontrolled diabetic mellitus visited our department with chronic balano-posthitis and buried penis for 3 years. Urination problem with hygiene issue bother him much recently. PE showed scarring contracture of the prepuce which caused a fissuring-like preputial ring. Surgical intervention with a simple longitudinal stricturotomy with transversal closure (Heineke-Mikulicz principle) on the doral and ventral side under local anethesia as an ambulatory surgery. The glans was exposed after the operation.
Result: Despite that the penile shaft was not fully exposed, the patient feels satisfied as the major concern was buried penis related difficult urination and hygiene issue.
Conclusion: Adult buried penis is an acquired condition related to obesity, circumcision, chronic inflammation, or lymphedema. Correction of the deformity improves quality of life. There were multiple techniques introduced to correct this situation, which were usually composed of complex surgical steps or even multi-staged surgery. Herein, we reported a case achieving patient-satisfied outcome using a relative simple procedure under local anesthesia.