Post Date December, 02 2023
Children have short penises, which can be divided into true and false penises. True and false penises are common in children with short penises=_ "Blank>There are three types of hermaphroditism, penile absence, and true penile shortening.". The most common form of pseudopenile shortening is concealed penis.
Concealed penis is a common congenital developmental abnormality and malformation, which is different from children with redundant foreskin or phimosis. As we all know, after the birth of male infants, the foreskin of the penis always wraps around the penis head. By the age of 3-4, most children's foreskin can turn up on its own, exposing the penis head. "If the foreskin still cannot be turned up or the foreskin opening is very small at this time, it is called a redundant foreskin or phimosis.". In a concealed person, the penis shrinks and hides within the body, with only a small, pointed foreskin protruding from the outside. "If you press the skin of the penis inward with your hand, the penis will appear, but once you release your hand slightly, the penis will retract.". Therefore, some people call it a buried penis. Although the appearance of the concealed penis resembles that of a long foreskin, they are two completely different diseases. This is because the outer skin of the concealed penis is not too long, but too short, and the penis is not small but normal. There are three reasons for it: first, the skin of the penis is stunted and too short; Secondly, the foreskin cavity is too small; Third, the skin of the penis does not wrap around the cavernous body of the penis, causing the cavernous body of the penis to retract without support. "If the concealed penis is not operated on, its development will be limited if it is allowed to remain concealed and cannot be extended.". Therefore, concealed penis must be treated within a certain age range (3-5 years old).
The treatment of concealed penis is completely different from the treatment of redundant prepuce, which requires excision of the redundant prepuce (i.e., circumcision), while the treatment of concealed penis requires surgery to expand the prepuce opening and extend the penis's skin. In addition, the cavernous body of the penis must be "pulled" out of the abdomen and properly fixed to restore the normal physiological and anatomical morphology of the penis, Thereby achieving the goal of facilitating penis development. However, if a concealed penis is misdiagnosed as having an excessively long foreskin and circumcision is performed, the resulting shortage of penis skin will become even more severe. Moreover, once the skin adhesion and protection of the penis cavernous body are lost after surgery, the development of the penis will be more inhibited.
Therefore, parents must take a child with penile shortening to a hospital with pediatric surgery for examination and diagnosis, so as to choose the correct surgical method to avoid misdiagnosis and mistreatment.
