Limited panniculectomy for adult buried penis repair

Patients with buried or hidden penis may be unable to carry out normal hygiene, void with a directable urine stream, or be sexually active as a result of the condition. Although these patients are nearly always obese, weight loss often does not reverse the problem, as the mons pannus may remain after weight loss. Furthermore, associated penile skin changes such as lichen sclerosus or stenosis of the penile shaft skin are often irreversible. Treatment includes removal of the diseased shaft skin surrounding the penis, in combination with a limited panniculectomy. The authors present their technique for this procedure in a typical patient with buried penis that prevented him from voiding effectively.