Acquired buried penis

Case contributed by Dr. Chris O'Donnell


PH obesity and diabetes. Now has "buried" penis. Unable to achieve penetration. Seeking surgical intervention

Patient Data

Age: 50 years
Gender: Male

The penis is morphologically normal but surrounded by excessive fat such that it is not visible externally (in this non-tumescent state).  The suspensory ligament of the penis is identified (arrow) in all projections.  This will be incised as part of the plastic surgical intervention as well as liposuction or surgical lipectomy of the excessive surrounding fat.

Case Discussion

This is a condition of increasing incidence due to the increasing rates of diabetes and morbid obesity.  It is not just a cosmetic issue.  It is a cause of infertility (due to an inability to penetrate) and can mask underlying pathology such as penile malignancy.  Adult onset must be contrasted with congenital buried penis that is due to a very short penile shaft (from birth).

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.