Congenital webbed penis: Surgical outcomes of a simplified technique



      Webbed penis is a cause of concealed penis. It reflects abnormal attachment of the scrotal skin to different ventral penile shaft levels, possibly due to abnormal scrotal dartos insertion. Different techniques are available for correction of congenital webbed penis. However, there is no single one versatile for correction of different grades.


      To evaluate the surgical outcome of penile degloving, excision of abnormal dartos fascia with penoscrotal fixation sutures to correct different grades of congenital webbed penis.

      Study design

      This prospective study was conducted on boys with congenital webbed penis. Thorough clinical examination to determine the degree of webbed penis and associated anomalies were done. A technical modification of previously described technique by Frenkl et al. 2004 (22) was used. The principles include; complete penile degloving with excision of all abnormal scrotal dartos attached to the penile shaft, creation of a well-defined penoscrotal angle by penoscrotal fixation sutures and the short ventral skin was compensated from the prepuce with circumcision. Assessments of surgical outcomes and parents' satisfaction were done during follow up visits.


      This study included 107 boys. The median age was 9 (range, 6–40) months, and the median operative time was 55 (range, 50–65) min. Five patients (4.7%) developed self-limited postoperative penile edema, two (1.9%) developed wound infections, and two (1.9%) had a self-limited scrotal hematoma. The median follow-up period was 19 months. At the 6 months follow-up, we had two patients with persistent mild grade I webs, with a success rate of 98.13%. Parental satisfaction was obtained for all patients.


      Currently, there is no current single technique suitable for the correction of all grades of webbed penis. In this study, we presented a technical modification of previously described technique by Frenkl et al. 2004 (9), this modified technique is versatile for correction of different grades of congenital webbed penis without leaving a scar at the penoscrotal angle. But, absence of a comparative group is considered a limitation; however, the versatility of this technique overcomes this limitation.


      Summary Figure
      Graphical AbstractThe principles of the technique.


      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic and Personal
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Pediatric Urology
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Maizels M.
        • Zaontz M.
        • Donovan J.
        • Bushnick P.N.
        • Firlit C.F.
        Surgical correction of the buried penis: description of a classification system and a technique to correct the disorder.
        J Urol. 1986; 136 (PMID: 2873259): 268-271
        • Srinivasan A.K.
        • Palmer L.S.
        • Palmer J.S.
        Inconspicuous penis.
        Sci World J. 2011; 11 (PMID: 22235186 PMCID: PMC3253616): 2559-2564
        • El-Koutby M.
        • Mohamed Amin el G.
        Webbed penis: a new classification.
        J Indian Assoc Pediatr Surg. 2010; 15 (PMID: 20975781 PMCID: PMC2952775): 50-52
        • Redman A.
        A technique for correction of penoscrotal fusion.
        J Urol. 1985; 133 (PMID: 3973991): 432-433
        • Dilley A.V.
        • Currie B.G.
        Webbed penis.
        Pediatr Surg Int. 1999; 15 (PMID: 10415318): 447-448
        • Chang S.J.
        • Liu S.P.
        • Hsieh J.T.
        Correcting penoscrotal web with the VY advancement technique.
        J Sex Med. 2008; 5 (PMID: 17971100): 249-250
        • McLeod D.J.
        • Alpert S.A.
        Double-V scrotoplasty for repair of congenital penoscrotal webbing: a hidden scar technique.
        J Pediatr Urol. 2014; 10 (PMID: 24572216): 810-814
        • Bonitz R.P.
        • Hanna M.K.
        Correction of congenital penoscrotal webbing in children: a retrospective review of three surgical techniques.
        J Pediatr Urol. 2016 Jun; 12: 161-165
        • Frenkl T.L.
        • Agarwal S.
        • Caldamone A.A.
        Results of a simplified technique for buried penis repair.
        J Urol. 2004; 171: 826-828
        • Kim J.J.
        • Lee D.G.
        • Park K.H.
        • Baek M.
        A novel technique of concealed penis repair.
        Eur J Pediatr Surg. 2014; 24 (PMID: 23589081): 158-162
        • Glanz S.
        Adult congenital penile deformity.
        Plast Reconstr Surg. 1986; 41 (PMID: 5654899): 579-583
        • Perlmutter A.D.
        • Chamberlain J.W.
        Webbed penis without chordee.
        J Urol. 1972; 107: 320-321
        • Kenawi M.M.
        Webbed penis.
        Br J Urol. 1973; 45: 569
        • Castagnetti M.
        • Leonard M.
        • Guerra L.
        • Esposito C.
        • Cimador M.
        Benign penile skin anomalies in children: a primer for pediatricians.
        World J Pediatr. 2015; 11: 316-323
        • Mayer E.
        • Caruso D.J.
        • Ankem M.
        • Fisher M.C.
        • Cummings K.B.
        • Barone J.G.
        Anatomic variants associated with newborn circumcision complications.
        Can J Urol. 2003; 10 (PMID: 14633330): 2013-2016
        • Johnson E.K.
        • Maizels M.
        • Meade P.
        • Mitchell M.A.
        • Rubio L.
        • Rosoklija I.
        Development and outcomes of a streamlined outpatient newborn circumcision clinic.
        Urol Pract. 2021; 8: 58-64
        • Negm M.A.
        • Nagla S.A.
        Surgical management of post-circumcision webbed penis in children.
        Arab J. Urol. 2020; 18: 101-105
        • Agrawal R.
        • Chaurasia D.
        • Jain M.
        Webbed penis: a rare case.
        Kathmandu Univ Med J. 2010; 8: 95-96
        • Şenaylı A.
        • Şenaylı Y.
        A novel operative technique for concealed penis secondary to penoscrotal web: a case report.
        Ther Adv Urol. 2010 Oct; 2: 215-218
        • Chen Y.B.
        • Ding X.F.
        • Luo C.
        • Yu S.C.
        • Yu Y.L.
        • Zhang Z.G.
        • et al.
        A new plastic surgical technique for adult congenital webbed penis.
        J Zhejiang Univ - Sci B. 2012; 13: 757-760
        • Maizels M.
        • Meade P.
        • Rosoklija I.
        • Mitchell M.
        • Liu D.
        Outcome of circumcision for newborns with penoscrotal web: oblique skin incision followed by penis shaft skin physical therapy shows success.
        J Pediatr Urol. 2019 Aug; 15: 404-408
        • Shapiro S.R.
        Surgical treatment of the “buried” penis.
        Urology. 1987 Dec 1; 30: 554-559
        • Radhakrishnan J.
        • Razzaq A.
        • Manickam K.
        Concealed penis.
        Pediatr Surg Int. 2002; 18: 668-672
        • Borsellino A.
        • Spagnoli A.
        • Vallasciani S.
        • Martini L.
        • Ferro F.
        Surgical approach to concealed penis: technical refinements and outcome.
        Urol Times. 2007 Jun 1; 69: 1195-1198
        • Hadidi A.T.
        Buried penis: classification surgical approach.
        J Pediatr Surg. 2014 Feb 1; 49 (PMID: 24528990): 374-379
        • Valioulis I.A.
        • Kallergis I.C.
        • Ioannidou D.C.
        Correction of concealed penis with preservation of the prepuce.
        J Pediatr Urol. 2015; 11: 259-301
        • Wollin M.
        • Duffy P.G.
        • Malone P.S.
        • Ransley P.G.
        Buried penis. A novel approach.
        BJU. 1990; 65: 97-100