Surgically Amenable Concealed-Penis-Induced Sexual Apathy

This chapter shows that surgery can reverse celibacy induced by CP and highlight the need for an interdisciplinary approach to correction of this anomaly. Concealed penis (CP) is a developmental anomaly in which the normal sized phallus of penis is hidden in the prepubertal skin of the abdomen, thigh or scrotum. A thirty-one-year male patient had a surgical release of his buried penis by two surgeons in 2019 in a private hospital. The data including history, physical examination and preoperative investigation findings, the anesthesia, operative technique and postoperative outcome including the patient’s attitude towards interest in sexual activity were analyzed and the results presented and discussed. A 10 cm length of penis and a hundred percent (100%) take of sheet of split skin graft used to resurface the denuded penis were achieved using combined spinal and epidural anesthesia. The patient, his mother and the surgeons were satisfied with the outcome. Consequently, he resolved to marry a wife after all. Initial evaluation on follow-up revealed good cosmetic outcome and fairly satisfactory erection function and improved mood. His interest in he- terosexual activity was reawakened. Concealed penis can now be regarded as a known cause of sexual apathy in men and can lead to celibacy and surgical correction can reverse the celibate state.