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About Arthur Goldstein, M.D.
Expertise
Any problems or questions related to the field of urology; ie urinary stone disease, urinary cancers (kidney, bladder, prostate, testis, etc.), urinary infections, impotency, etc.
Experience
I am retired from the active practice of urology. My 34 years was totally in the clinical field and involved the entire gamut of genitourinary problems, with special interest in male impotence and endourology.
Organizations
American Medical Association, American Urological Association, American College of Surgeons
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You are here: Experts > Health/Fitness > Urology > Urology > inverted penis
Expert: Arthur Goldstein, M.D.
Date: 9/5/2008
Subject: inverted penis
Question
My friend has a 7 month old baby who has a inverted penis the pediatrician states this is common I have never seen anything like this before should she be concerned and seek the second opinion of another doctor being that this was the doctor that originally performed his circumcision which I have no clue how because there is no penis exposed its completely inside it looks like a belly button
Answer
Zeena, I strongly recommend that the child be seen in consultation by a urologist so that a proper diagnosis can be made. The differential diagnosis would be between a normally circumcised penis that is retracting into the pre-puberal fat pad versus excessive scarring related to the circumcision that is abnormally binding the penis.
Retraction of the penis is a common and normal phenomenon. It has more to do with body build than any disorder of the penis. It usually occurs in chubby babies or in older males who are overweight and have a large abdomen and thickened area of fat in the pre-puberal area (lower abdomen). It is most obvious in the sitting position. It has nothing to do with the size or function of the penis. In older boys or men, getting in shape and proper dieting usually results in lessening of the abdominal fat and the situation corrects itself. In the meantime, it is very important when bathing to expose the entire penis and wash it well before allowing it to retract again.
Excessive scarring from a circumcision can permanently trap the penis. In this case, it is not usually possible to adequately expose the glans penis (head), the groove behind the glans (fossa navicularis) and the penile shaft. If this is the case, one cannot properly clean the area which can predispose to infection. If the scarring is excessive, the act of urinating properly could be compromised. This needs surgical correction.
Again, it would be best for the child to see a urologist in consultation so that a diagnosis can be made and treatment options given. Good luck.
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