Hidden penis is a traumatic penis. The patient's penile skin is very short and the inner plate of the foreskin is sufficient. The patient has to undergo penile relaxation surgery for treatment. If the surgery is not performed for a long time, it will not only affect the development of the penis, but also cause psychological and physiological obstacles to the patient. There is a lot of controversy about the patient's surgical age. It is recommended to do it before puberty, and it will be very good, because puberty is a developmental stage during which surgery may also lead to adverse development and cause certain damage again. Symptoms and signs Most patients have phimosis, where the skin covering the penis is very short, but the inner foreskin is relatively sufficient. If patients with hidden penis do not undergo penile relaxation, it will affect the development of the penis and cause psychological and physiological disorders. Medication There is a great deal of controversy over the treatment and surgical age of cryptic penis. If the foreskin can be turned up to expose the glans penis, surgery is not necessary, and cryptic penis gradually improves with age. The purpose of the surgery is to expand the foreskin opening and expose the glans penis. Be careful not to do a simple circumcision. Surgical method: ① Make a circular incision along the foreskin opening, and cut the outer plate about 1.5 cm along the directions of 2, 6, and 10; ② Make a longitudinal incision of 1.5 cm along the inner plate of the foreskin along the directions of 4, 8, and 12, and turn the foreskin outward to expose the glans penis smoothly; ③ Suture the inner and outer plates of the foreskin in the shape of an interlocking skin flap. The key points of this operation are as follows: the inner and outer layers of the foreskin are incised longitudinally in a staggered manner, and the incisions are sutured in the shape of an inlaid skin flap. The operation enlarges the foreskin opening. Another surgical method: try to evert the foreskin, make a narrow longitudinal incision at 10 o'clock and 2 o'clock to make the foreskin evert and expose the glans penis. Make a circular incision of the inner plate 0.8-1.0cm away from the coronal sulcus, and trim and suture the foreskin. Since the characteristics of the aforementioned hidden penis are fewer outer plates and more inner plates, the dorsal skin of the penis is short and the ventral skin is long, it is sometimes necessary to turn the ventral pedicled skin flap to the dorsal side to repair the damaged skin. Diet and Health The diet should be light, pay attention to hygiene, and balance the diet reasonably. Preventive care There is currently no effective preventive measure for this disease, and early detection and diagnosis are the key to prevention and treatment of this disease. Pathological etiology Concealed penis is a congenital malformation caused by abnormal development of the tunicum pubis. It is different from the situation in which fat accumulates at the base of the mons pubis and scrotum due to obesity, and the penis is hidden deep under the skin. The latter can return to normal after maturation and reduction of fat tissue. Concealed penis patients have abnormal development of the tunicum pubis, and the loose and elastic tunicum becomes inelastic, thick fibrous fascia, and sometimes forms cords. These abnormally developed fascia and cords pull the penis proximally and constrain it below the pubic symphysis. |
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