Should buried penis formed after neonatal circumcision be operated?
I didn’t know how to visualise it. Sometimes I get consulted via phone, sometimes via WhatsApp messages and photos, videos.
After my residency education, I started doing a lot of neonatal circumcisions at the American Hospital. During my residency training, we did not perform any neonatal circumcision at our university hospital. Because we were so busy that we could not find time. As a matter of fact, I learned how to perform neonatal circumcision in US. But I did not know that I would face such a “pseudo problem”, which is a “twister problem”. At that time, there were not many people who did neonatal circumcision. So the person to be consulted was very limited. Every time when I had a problem, I had very experienced professors to talk to. However, they do not wanted to ponder to such a common problem.
I immediately started researching literature. When I encountered buried penis after neonatal circumcision, I read about what they were doing abroad and consulted foreign experts. I encountered a strange inconsistency. Some of them operated on at the age of 10 months, some recommended surgery earlier, some suggested follow-up… I never thought of it, so now I had to work.
Here, first of all, I have to give the following information. All children, newborn babies or older children, who will be circumcised, we definitely examine them first. We definitely do not circumcise those who have genital problems. So I’m sure the kids I circumcised had no genital problems before. Parents’ complaints are also very typical, they state that the penis is looking very good in the first month, then the penis is buried after 1 month.
Although recommended in the articles, I did not like doing buried penis surgery first. There were thousands of circumcised children under my hand, so I decided to watch those with buried penis.
I asked my paediatrician friends to let me know when they saw a buried penis. We recorded a total of 88 babies at an average of 3.5 months, and after a certain period of time I examined them again. I was wondering about the natural process of the buried penis condition. In my last visit, I divided them into groups according to their ages. We noticed that while it was 100% for those under one year old, it decreased to 6% when they were three years old. We also published this data in the Urology journal that early surgery is not required for buried penises after neonatal circumcision.
Not finished, we conducted a survey, we found out that 34 of 388 neonatal circumcised babies had buried penises some time after circumcision. While filling in the questionnaire, all of these children were over the age of 3, and they all had normal penises.
You can find the links of our articles that I mentioned below.
Buried penis after newborn circumcision
Evaluation of circumcision in terms of parental feedback and medical outcomes
Let’s wrap it up in the end:
I think the most important issue is that babies should have been examined before neonatal circumcision. At the American Hospital, we examine all of them, without exception, and provide detailed information to families. Our aim is to achieve the highest satisfaction, which is over 95% in our previous studies. For this purpose, we scrutinise it. We do not do circumcision in cases where problems may arise.
While everything is going well after performing neonatal circumcision, with the onset of infancy, when the prepubic adipose tissue, that is, the adipose tissue around the penis, increases, the penis can be buried. Don’t worry, just take good care of the penis, avoid accumulation of cream or cotton-like residues around the glans, so prevent from rashes and subsequent adhesions.
I explained the mucosal adhesions that may occur after neonatal circumcision in a previous blog, you can read it by clicking here. As crawls and walks begin, adipose tissue will decrease and penis will appear.
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