Scrotal Skin Tunneling Technique For Surgical Management Of Buried Penis Or Excess Skin Removal In Circumcision, Two Stages Procedure

Abstract

Background: Surgery is a prevalent intervention for pediatric hidden penis. To date, there are several surgical techniques for buried penis.

Objectives: to assess efficacy of Scrotal Embedding Tunneling (SET) technique for surgical management of buried penis or excess skin removal in circumcision

Methods: A two-stage SET approach was tested in 15 boys (6 months–13 years) over April 2024–April 2025. Patients were assessed immediately postoperative, after 3 months and after 6 months. Follow up and procedure outcomes were assessed by penile length patient satisfaction about size and morphology along with postoperative complications.

Results: In table 2 regarding postoperative patient satisfaction about the size of the penis, 6 (40%) were satisfied, 4 (26.7%) were very satisfied, and 20% were unsatisfied, while 2 (13.3%) were very unsatisfied. Regarding postoperative patient satisfaction about the morphology of the penis 6 (40%) were satisfied and 6 (40%) very satisfied, non-satisfaction was reported by 3 cases (20%). Postoperative measurements at 6 months showed significant penile length increase (mean from 2.62 cm to 6.49 cm, p < 0.001). Patient satisfaction was moderate: 66.7% were satisfied or very satisfied with size; 80% with morphology. Hairy skin and color differences were common complications (33.3% and \~20%, respectively), with low rates of infection or hematoma.

Conclusion: SET is a flexible, safe, and successful reconstructive procedure for well-chosen patients with a buried penis, facilitating the restoration of penile shaft skin abnormalities without the need for intricate skin grafting.