An 11-year-old boy with a sunken penis underwent plastic surgery to improve both his appearance and physiological function.
Although Bao Nam is in the pre-puberty stage, his penis is very small. The family noticed something unusual so they took him to Tam Anh General Hospital in Hanoi for a check-up in early June. Master, Doctor Ta Ngoc Thach (Department of Urology - Andrology and Nephrology) said that through clinical examination, the baby's physical and intellectual development is normal. Hormone tests are all within limits. However, the penis is small, protruding only about 1 cm from the surface of the pubic area, mainly excess foreskin.
Diagnosing the patient with penile indentation, the doctors performed surgery to separate and reconstruct the scrotal skin to help relieve the indentation. At the same time, the fixation helped the penis to protrude nearly 4 cm above the pubic surface, not to regress, and the circumference was appropriate for the age. The plastic surgery helped the child ensure physiology and aesthetics, no longer have an inferiority complex, facilitate personal hygiene, minimize the risk of infection, and create momentum for future reproduction.
Master Ta Ngoc Thach performs surgery to release penile recession for a patient. Photo: Tam Anh General Hospital
Master Thach added that in Bao Nam's case, because his family took him to the doctor at pre-puberty, it was very difficult to do psychological work for him. In addition, his penis was already 2/3 the size of a normal person, so the surgery to release it took more time. The surgery lasted more than two hours, twice as long as the intervention for a similar case in children under 6 years old.
This malformation is characterized by a small, short penis that sinks deep into the pubic area. The disease is often detected late or misdiagnosed as phimosis. For children with this malformation, the foreskin is not cut but serves to cover the penis during plastic surgery.
To identify, obese children need to lose weight before assessing the subsidence. For children with normal health, parents can check and observe themselves. If the penis seems to only protrude a small amount of skin or a very small part of less than 1 cm, the child should be taken to the doctor.
Master Thach noted that for children with penile indentation, parents should detect it early and take their children to reputable medical facilities for examination and intervention before they go to primary school, to avoid self-consciousness or psychological trauma for the child. Moreover, at this time, the genitals are easily released, the missing skin needs less coverage. This deformity can cause difficulty in daily hygiene, affect psychology, and in the long term can affect the quality of sexual life. Early detection and treatment of the disease helps reduce discomfort and limit bad complications for children.
Emerald
* Patient's name has been changed.
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