Question

Why haven’t I seen your responses lately? I know you’re a giant in the field of urology, and I hope your response will dig out a ’tumor’ that has been tormenting me for two whole years. The situation is as follows: My child was born with a relatively small penis, and it seems that most of the time, it’s covered by a piece of skin, like a little whirlpool. Our elders say it’s ‘hiding the ball.’ On January 30, 2007, the doctor examined and said it was phimosis, and it would be fine after the circumcision. We had no medical knowledge in this area, so we just did what the doctor said. However, there are several points to consider: 1) hidden penis; 2) generally, no surgery is needed at first, but rather, find the factors or causes of the hidden condition. Because surgery cannot promote penile development; 3) targeted measures should be taken based on the factors or causes; 4) the penis is hidden under the skin, and only a piece of skin is visible on the surface usually, but it can be seen when erect; 5) timely treatment is required, including widening the prepuce opening, medication, investigating factors or causes, eliminating hidden factors such as avoiding estrogen-containing substances, and treatment should be completed before the age of 10. Do not resort to surgery lightly. There is a specialist clinic at Changzheng Hospital’s Pediatrics department on Monday mornings.

Answer

Based on your description, your child may have a hidden penis condition. This situation usually does not require immediate surgery but should first seek out the factors or causes leading to the hidden condition. Surgery cannot promote penile development, so appropriate treatment measures should be taken based on specific factors or causes. In this case, it is recommended that you take your child to the hospital for a detailed examination.