The term “buried penis syndrome” describes a penis of normal size that lacks an appropriate sheath of skin and is located beneath the integument of the abdomen, thigh, or scrotum. The penis may also be buried within its own skin. Buried penis syndrome is a true congenital disorder commonly diagnosed in children, usually presenting in neonates or obese prepubertal boys; however, it can also be seen in adults and has been observed in both circumcised and uncircumcised individuals.
If the condition is caused by the lower abdominal and pubic area fat and skin tissue covering the penis it can create a moist condition ‘under the hood’ which results in skin infection, scarring, and adhesions with associated retraction. A congenital pubic fat pad can become especially problematic with age as the skin and fat sag and descend to cover the penis even more.
Dr. Elist releases the adherent penile skin allowing the glands to protrude, revealing the penile shaft with a repositioning of the circumcision scar line. If the scarring involves the urethra with possible obstructive scarring, a reconstruction of the urethral meatus might be required.
This procedure is done under general anesthesia and the duration depends on case severity.
In cases where suprapubic fat and skin are covering most of the penile shaft, causing the penis to disappear inside the fat-skin cushion, a suprapubic fat removal in conjunction with removal of the excessive skin is performed under general anesthesia. Similar to a tummy/tuck procedure, the excessive skin-fat deposition is surgically removed allowing the penis to protrude and extend from inside of the pubic area revealing its actual length. Where necessary, the bilateral pubic skin at the base of the penis is additionally elevated towards the lower abdominal area providing additional improvement in the penile appearance and length.
Secondary Buried Penis Syndrome (resulting from excess suprapubic fat/skin-fat tissue) may benefit from the ELIST implant* as the procedure demonstrates superior results when compared to other procedures.
*Please note that the presentation of additional extensive lower abdominal fat tissue might be an exclusion criteria for the ELIST implant surgery
The silicone implant is used by Dr. Elist to provide progressive increases in penile length and girth. While the removal of suprapubic fat-skin tissue will uncover the actual penile size partially, the ELIST implant will additionally provide increases in length and girth and prevent the penis from retracting back inside the pubic area.
Since the removal of the suprapubic fat-skin tissue and the placement of the ELIST implant are using the same site of incision, a combined procedure is not only very convenient for our patients, but provides the most superior results in gaining the actual penis length AND additional increase in penis length and girth.
The placement of the ELIST implant can elongate the penis with additional length and girth of 1.5 to 2.5 inches (on average). Individual results may vary. A detailed list of potential complications, risks, benefits, and alternatives, including no surgery, will be discussed in advance.
The above example is based on average gains in our patients. Individual results after surgery may vary depending on the size of the implant used for a patient- specific case. Additional gains with the ELIST implant may range from 1.5 to 2.5 inches on average.
Dr. Elist treats penile webbing using plastic surgical techniques for elongation or removal of the excessive skin. In selected cases, penile webbing can be treated by the placement of the ELIST implant for additional increases in penile length and girth. Please contact Dr. Elist for an evaluation of your individual case and treatment suggestions.