Penoscrotal anchoring is a specialized surgical procedure used in buried penis treatments, in which the tissues connecting the underside of the penis to the scrotum are repositioned. The goal is to stabilize the loose tissues in the penile base, eliminate the buried appearance, and achieve a more balanced anatomical look.
Penoscrotal anchoring is typically performed in conjunction with penopubic anchoring to provide stabilization at both the upper and lower parts of the penis.
Why is Penoscrotal Anchoring Performed?
In some cases of buried penis, not only the upper part but also the lower part is pulled inward by loose subcutaneous scrotal tissues. This causes the penis to retract downward and inward, reducing its external visibility. Penoscrotal anchoring reshapes these tissues anatomically and repositions the penis outward. As a result, the buried appearance is eliminated, and both penoscrotal symmetry and aesthetic appearance are improved.
Who is a Candidate for Penoscrotal Anchoring?
- Men with loose or asymmetric subcutaneous scrotal tissue contributing to buried penis.
- Those with buried penis caused not only by pubic tissue issues but also by differences in scrotal subcutaneous structures.
- Patients requiring combined surgical correction of buried penis.
How is Penoscrotal Anchoring Performed?
The procedure is carried out under spinal or general anesthesia. Loose subcutaneous scrotal tissues at the base of the penis are freed, the penile base is repositioned, and secured with specialized sutures. The procedure typically lasts about 60 minutes and can be combined in the same session with penopubic anchoring or mini monsplasty. After surgery, the penile root is clearly defined, and buried penis caused by scrotal factors is fully corrected.
Advantages of Penoscrotal Anchoring:
- Serves as a complementary surgical technique alongside other buried penis procedures.
- Eliminates retraction caused by anatomical differences at the penile base.
- Corrects scrotal asymmetry and sagging.
- Improves penile visibility and aesthetic balance.
- Provides functional stability by securing the penis in a natural outward position.
- Can be combined with other procedures (pubic lipectomy, mini monsplasty, or penopubic anchoring) for optimal visual results.
Recovery and Results:
Since penoscrotal anchoring is a supportive surgical technique, mild swelling, tenderness, and bruising may occur in the first week. Patients can typically resume daily activities within 2–3 weeks and sexual activity after 6–8 weeks. As the anchoring sutures take effect, penile position stabilizes, and buried penis caused by scrotal tissue issues is permanently corrected.
Final Notes:
Penoscrotal anchoring is an advanced surgical approach that simultaneously provides anatomical stability and aesthetic balance in buried penis treatments. It corrects scrotal-related penile retraction while restoring the natural transition between penis and scrotum. When performed by experienced urologists, it delivers durable, functional, and aesthetically satisfying results.
