Hidden Penis: Surgery, Circumcision, and Treatment Options - Urology

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Hidden penis


There is a lot of information online about hidden penis syndrome, suggesting that surgery is necessary to pull the penis out.
However, I usually have it exposed, and it only retracts significantly in cold weather, making only the glans visible.
The doctor mentioned that I could improve the situation by exercising and losing weight, and that surgery is not required.
But I heard that even after circumcision, there can still be issues with excessive foreskin.
Do I need surgery for this? Some online literature suggests that surgery for hidden penis syndrome does not require circumcision, but my foreskin is indeed prominent and has folds that get caught at the coronal sulcus.
I am curious because my body weight is normal at 182 cm and 66 kg.
Should I consult different doctors at various hospitals? I am concerned about wasting medical resources, so I am asking online.
By the way, I am from Taipei and I plan to visit a well-known urology clinic that has good online reviews and experienced doctors.
Should I trust the doctor and not worry too much?

A Ren, 20~29 year old female. Ask Date: 2018/01/25

Dr. Du Shixi reply Urology


Hello: If the penis is usually exposed, it is not considered a hidden penis.
You should follow the advice of the hospital physician, as information found online may not always be accurate.
Wishing you good health.

Reply Date: 2018/01/25

More Info


Understanding hidden penis, or "buried penis," is a condition where the penis is partially or completely concealed within the surrounding tissue, often due to excess skin or fat. This can be a source of concern for many individuals, particularly regarding its impact on sexual function and self-esteem. The treatment options for this condition can vary based on the underlying causes and the severity of the situation.

In your case, it seems that you have been experiencing a situation where your penis appears to retract, especially in colder temperatures, which is a normal physiological response. However, if you are concerned about the appearance or functionality of your penis, it is essential to consult with a qualified urologist who can provide a thorough examination and appropriate recommendations.


Surgical Options
1. Penile Lengthening Surgery: This procedure involves releasing the suspensory ligament of the penis, which can help in cases where the penis is buried due to excessive fat or skin. This surgery is typically considered when the condition significantly impacts quality of life or sexual function.

2. Circumcision: If you have a significant amount of excess foreskin (as you mentioned having a long foreskin), circumcision may be recommended. This procedure removes the foreskin, which can help in cases where it contributes to the appearance of a buried penis or causes discomfort.

3. Liposuction or Skin Reduction: In cases where excess fat or skin is contributing to the buried appearance, procedures like liposuction or skin reduction may be performed to enhance the visibility of the penis.


Non-Surgical Options
- Weight Management: As your doctor suggested, maintaining a healthy weight through diet and exercise can help reduce the amount of fat around the pubic area, which may improve the appearance of the penis.

- Monitoring: If the condition is not causing any functional issues, some doctors may recommend simply monitoring the situation rather than pursuing immediate surgical intervention.


When to Consider Surgery
Surgery is generally considered when:
- The condition causes significant psychological distress.

- There are functional issues, such as difficulty with sexual intercourse.

- There are hygiene concerns due to the inability to properly clean the area.


Seeking Multiple Opinions
It is understandable to want to seek multiple opinions, especially regarding a sensitive issue like this. However, it is also important to find a urologist with whom you feel comfortable. If you have consulted a reputable clinic and the doctor has experience in this area, it may be beneficial to trust their judgment. If you still have concerns after your initial consultation, seeking a second opinion can be a reasonable step.


Conclusion
In summary, the decision to pursue surgery for a buried penis or related conditions should be based on a thorough evaluation by a qualified urologist. They will consider your specific circumstances, including any functional issues and your overall health. If surgery is deemed necessary, they will discuss the potential risks and benefits with you. Remember, maintaining open communication with your healthcare provider is key to addressing your concerns effectively.

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