Two males presented to our urology department with complaints of bleeding and malodor from buried phallus within a suprapubic fat pad. Although both men had neonatal circumcisions, advanced penile carcinoma was found in both men.
Formal penectomies showed high grade, poorly differentiated squamous cell carcinoma invading the corporal bodies and urethra. Buried penis represents a difficulty in early detection of suspicious lesions but may also provide an environment susceptible to poor hygiene and subsequent chronic inflammation. Patients with buried penis may be at a higher risk for development of invasive penile cancer and may benefit from regular and thorough genital exams.
Case reports in urology. 2015 Sep 13 [Epub]
Jared Manwaring, Srinivas Vourganti, Dmitriy Nikolavsky, Alfredo L Valente, Timothy Byler
Department of Urology, Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA. , Department of Urology, Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA. , Department of Urology, Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA. , Department of Pathology, Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA. , Department of Urology, Upstate Medical University, 750 East Adams Street, Syracuse, NY 13210, USA.