From the Guidelines
Penis retraction, also known as buried penis or hidden penis, is a condition that requires a comprehensive approach to address its various causes and potential complications, prioritizing morbidity, mortality, and quality of life. The condition can manifest due to temporary factors such as cold or anxiety, where no treatment is necessary as the penis returns to normal size once the trigger resolves. However, for obesity-related retraction, weight loss is the primary and most effective recommendation to improve the condition and reduce associated risks. In cases of adhesions or scarring, particularly after circumcision, a urologist may need to perform a surgical procedure to release the penis, emphasizing the importance of professional medical evaluation. For children with a congenital buried penis, the condition often resolves naturally with growth, but surgical correction may be necessary in some cases, highlighting the need for ongoing medical assessment. Daily gentle manual retraction of the foreskin during bathing can help prevent adhesions in uncircumcised males, serving as a preventive measure. Penis retraction occurs because excess fat in the pubic area, scar tissue, or developmental issues can cause the penis to appear shorter or partially hidden, which can lead to urinary problems, infections, or psychological distress, necessitating prompt medical attention as these complications can significantly impact morbidity, mortality, and quality of life 1. Key considerations in managing penis retraction include:
- Identifying and addressing the underlying cause
- Preventing complications through early intervention
- Improving quality of life by restoring normal penile function and appearance
- Regular medical follow-up to monitor the condition and adjust treatment as necessary Given the potential for significant impact on quality of life and the risk of complications, a comprehensive and individualized approach to managing penis retraction is crucial, taking into account the latest medical guidelines and evidence-based practices to ensure the best possible outcomes for patients.
From the Research
Definition and Causes of Penis Retraction
- Penis retraction can be associated with various conditions, including Koro, a psychiatric syndrome where the patient is convinced their penis is retracting 2.
- Peyronie's disease, an acquired benign condition, can also cause penile curvature or deformity, which may be perceived as retraction 3.
Symptoms and Diagnosis
- Symptoms of penis retraction can include penile curvature, pain, and erectile dysfunction 3.
- A thorough physical examination and high clinical suspicion are essential for proper diagnosis of penile emergencies, including conditions that may cause retraction 4.
Treatment Options
- Vacuum therapy has been shown to improve or stabilize penile curvature in patients with Peyronie's disease, and may be a viable treatment option for penis retraction 5.
- Penile traction therapy (PTT) and vacuum erection devices (VEDs) may also be effective in managing Peyronie's disease and associated symptoms, including curvature and retraction 6.
- Surgical therapy may be reserved for patients who have failed conservative therapy and have significant curvature or erectile dysfunction 3.