Adult Acquired Buried Penis
Expert Surgical Evaluation and Reconstruction
Adult acquired buried penis (AABP) is a condition in which the penis becomes partially or completely concealed beneath the surrounding skin and soft tissue, resulting in functional, hygienic, and quality-of-life concerns. Unlike congenital forms, adult acquired buried penis develops later in life and is often progressive if left untreated.
Dr. Alex J. Vanni is a nationally recognized reconstructive urologist with extensive experience in the evaluation and surgical management of adult acquired buried penis, including complex cases associated with obesity, lichen sclerosus, chronic inflammation, and prior genital surgery. Patients are referred nationally for his expertise in durable, function-restoring reconstruction.
Buried Penis Educational Video
What Is Adult Acquired Buried Penis?
Adult acquired buried penis occurs when the visible portion of the penis is obscured by excess suprapubic fat, skin laxity, chronic inflammation, scarring, or poor tissue quality. Although penile length is typically normal, the penis appears shortened or hidden.
Common contributing factors include:
- Obesity and suprapubic fat accumulation
- Chronic inflammation or infection
- Lichen sclerosus involving genital skin
- Prior circumcision or genital surgery
- Poor skin elasticity or scarring
AABP is not merely cosmetic—it can cause significant functional impairment.
What Are the Symptoms of Adult Acquired Buried Penis?
Men with adult acquired buried penis may experience:
Urinary Issues
Difficulty with urination, spraying, or incomplete emptying
Hygiene Problems
Recurrent skin infections, irritation, or chronic moisture
Sexual Dysfunction
Difficulty with intercourse or reduced sexual confidence
Psychological Impact
Distress, embarrassment, or reduced quality of life
Because symptoms often worsen over time, early evaluation is important.
How Is Buried Penis Diagnosed?
A comprehensive evaluation includes:
- Detailed medical and surgical history
- Assessment of body habitus and suprapubic tissue
- Examination of penile skin and shaft exposure
- Identification of contributing conditions such as lichen sclerosus or urethral disease
Careful assessment is critical to determining the most effective reconstructive approach and achieving durable results.
How Is Adult Acquired Buried Penis Treated?
Surgery is the definitive treatment for symptomatic AABP and is tailored to the individual patient's anatomy and underlying causes.
Advanced Reconstructive Techniques
Dr. Vanni specializes in surgical approaches which may include:
- Release of penile skin and scar tissue
- Removal of excess suprapubic fat or skin (escutcheonectomy)
- Penile skin resurfacing or grafting when native skin is compromised
- Management of associated conditions such as lichen sclerosus
- Coordination with reconstructive or plastic surgery when appropriate
Goals of Surgery
The objectives of buried penis reconstruction are to:
- Restore penile exposure and visibility
- Improve urinary and sexual function
- Facilitate hygiene and reduce infections
- Achieve durable functional outcomes
- Restore confidence and quality of life
Why Experience Matters in Buried Penis Reconstruction
Adult acquired buried penis surgery is complex and requires:
- Expertise in genital skin and soft-tissue reconstruction
- Careful management of compromised tissue quality
- Experience addressing comorbid conditions and prior surgery
Outcomes depend heavily on surgeon experience and thoughtful surgical planning. High-volume reconstructive expertise reduces complications and improves functional and quality-of-life outcomes.
Dr. Vanni's results reflect a commitment to technical excellence, patient safety, and long-term durability, particularly in complex and revision cases.
National Referral Center for Adult Acquired Buried Penis
Men with moderate to severe buried penis, recurrent infections, or prior failed surgery are referred nationally to Dr. Vanni for expert evaluation and definitive management. He works closely with referring physicians to ensure coordinated care and comprehensive follow-up.
Have Questions About Buried Penis?
Get answers to the most common questions about buried penis treatment, surgery, and recovery.
View Frequently Asked QuestionsSurgical techniques for adult acquired buried penis have been refined through peer-reviewed research, and Dr. Vanni's approach reflects the current evidence-based best practices in reconstructive urology.
Treatment Outcomes at a Glance
Success Rate
90% success rate with Dr. Vanni's technique
Surgery Duration
Outpatient surgery typically 2–5 hours depending on complexity
Recovery
Initial recovery 2–4 weeks. Resume full activity in 6–8 weeks
Schedule a Consultation
If adult acquired buried penis is affecting your urinary function, hygiene, sexual health, or confidence, expert evaluation can help determine the most effective reconstructive options.