An 11-year-old boy has a penis that is only 1 cm long.

An 11-year-old boy with penile retraction underwent reconstructive surgery, improving both his appearance and physiological function.

Although Bảo Nam is in the pre-puberty stage, his penis is very small. His family noticed this abnormality and took him for examination at Tâm Anh General Hospital in Hanoi in early June. Dr. Tạ Ngọc Thạch (Department of Urology, Andrology and Nephrology) stated that clinical examination revealed the child's physical and intellectual development was normal. Hormone tests were all within normal limits. However, the penis was small, protruding only about 1 cm from the surface of the pubic skin, mainly consisting of excess foreskin.

Diagnosing the patient with penile retraction, the doctors performed surgery to remove and reshape the scrotal skin to relieve the retraction. Simultaneously, they fixed the penis to protrude nearly 4 cm above the pubic surface, preventing it from retracting again, and ensuring a circumference appropriate for the child's age. This reconstructive surgery ensures the child's physiological and aesthetic well-being, eliminates feelings of inferiority, facilitates personal hygiene, minimizes the risk of infection, and prepares the child for future reproduction.

Master's degree holder Ta Ngoc Thach performs surgery to release penile retraction for a patient. Photo: Tam Anh General Hospital.

Master Thach further shared that in Bao Nam's case, because his family brought him for examination at a pre-pubescent age, it was very difficult to prepare him mentally. In addition, his penis had already grown to two-thirds the size of a normal penis, so the surgery to release it took much longer. The surgery lasted more than two hours, double the time compared to a similar case in children under 6 years old.

This congenital defect manifests as a small, short penis that is deeply recessed into the pubic area. The condition is often detected late or misdiagnosed as phimosis. In children with this defect, the foreskin is not removed but serves to cover the shaft of the penis during reconstructive surgery.

To determine if the penis is retracted, obese children need to lose weight before assessing its retraction. For children with normal body weight, parents can perform a self-examination and observation. If the penis appears to protrude only a small clump of skin or a very small portion (less than 1 cm), the child should be taken to a doctor.

Master Thach noted that for children with retracted penis, parents should detect the condition early and take their children to reputable medical facilities for examination and intervention before they start primary school, to avoid feelings of inferiority or psychological trauma. Furthermore, at this stage, the retracted genitalia are easily freed, and the missing skin needs less coverage. This deformity can cause difficulties in daily hygiene, affect psychology, and in the long term may affect the quality of sexual life. Early detection and treatment help reduce discomfort and limit negative complications for children.

Emerald

The patient's name has been changed.

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