Re: Commentary on “A modified fixation technique for the cure of buried penis in children” : Asian Journal of Andrology

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Re: Commentary on “A modified fixation technique for the cure of buried penis in children”

Cui, Xu1,*; Gao, Bing-Jing2,*; Chen, Liu1; Huang, Wen-Hua1; Zhou, Chao-Ming1,

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Asian Journal of Andrology 25(1):p 146, Jan–Feb 2023. | DOI: 10.4103/aja202229
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In this article, we respond to the comments by Gereta et al.1 on our modified fixation method for congenital buried penis of children.

Buried penis is not only associated with the shape and exposed length of the penis, but it is much more important that it may lead to serious psychological problems of children, for example self-confidence, self-esteem, and gender awareness. When it has been diagnosed, pediatric urologist should do the operation for these children and make the improvement on cosmetic of the penis.

We present an evaluation of the short-term improvement of our modified fixation method after penile surgery. Most literature has a range of follow-up time. For example, Murakami et al.2 set postoperative follow-up time as 0.1–17.5 years. In addition, according to our observed results, the period from 6 months to 1 year after surgery is the period with high incidence of postoperative penile retraction and cicatricial contraction. The selecting of this period is meaningful for the evaluation of postoperative short-term complications. We have been working on the assessment of long-term outcomes and complications and found that the modified fixation method is still superior to the traditional fixation method over longer follow-up periods. We have carried out this work for longer than 4 years. Until now, there is no erectile pain, length problems, or penile trapping phenomenon observed in the group of the modified method.

Indeed, the penile and foreskin conditions of children with buried penis vary from person to person, and there is no absolute “gold standard” surgical approach to solve all problems. However, most forms of buried penis of children can be cured by our relatively simple fixation method. Our clinical experience and data can be used to confirm our theory.


All authors participated in the writing, critical revision, and final approval of the reply.


All authors declare no competing interests.


1. Gereta S, Tijerina AN, Belbina SH, Osterberg EC. Commentary on “A modified fixation technique for the cure of buried penis in children”. Asian J Androl 2022. Doi:10.4103/aja202216. [Online ahead of print].
2. Murakami H, Yazaki Y, Seo S, Ochi T, Okawada M, et al. A single surgeon's experience of 65 cases of penoplasty for congenital megaprepuce, with special reference to mid- to long-term follow-up. Pediatr Surg Int 2015;31:89–92.
Copyright: © The Author(s)(2022)