Surgical approach to the congenital megaprepuce

Fabio Ferro, Antonio Spagnoli, Ioannis Spyridakis, Pietro Atzori, Luisa Martini, Alessandro Borsellino

Research output: Contribution to journalArticlepeer-review


The megaprepuce (MP) is a very rare malformation of unknown aetiology, with anatomical findings similar to those observed in the congenital buried penis (BP). The aspect of this entity and the symptoms are rather typical: the penis is totally buried and before micturition an evident pubic and scrotal swelling denounces the urine collection in an abnormal preputial cavity surrounding the entire shaft. Early surgery is recommended, in order to deal with functional and cosmetic aspects. The very diminutive phallus is the most important cause of family anxiety. The authors present six infants, aged 5, 12, 13, 18, 20 and 43 months, operated upon for MP. The surgical approach consisted in the complete exteriorization of the shaft with section of the penile ligament, the restoring of the pubo-penile and peno-scrotal angles and the tailoring of the cutaneous cylinder. No intra- or postoperative complications were observed. Late functional and cosmetic results were judged satisfactory by both parents and surgeons. The surgical approach to BP is not simply transferable to the correction of MP. The cosmetic arrangement of the shaft skin is the more difficult step of the MP correction in order to avoid postoperative complications and an unsatisfied cosmetic appearance.

Original languageEnglish
Pages (from-to)1453-1457
Number of pages5
JournalJournal of Plastic, Reconstructive and Aesthetic Surgery
Issue number12
Publication statusPublished - Dec 2006


  • Buried penis
  • Congenital megaprepuce
  • Genital malformation

ASJC Scopus subject areas

  • Surgery


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