A hidden penis – also known as a “pannus” or “FUPA” penis – is a condition where the penis is obscured beneath surrounding skin, fat, and genital tissue. Though frequently addressed in medical contexts, the issue remains unfamiliar to many patients; worse yet, it can profoundly affect quality of life and cause a plethora of psychological and physical consequences when left untreated.
As a renowned plastic surgeon in Sacramento, Charles Perry, MD, FACS is familiar with several strategies to treat a hidden penis. He encourages individuals who suspect they have this condition to contact his team, and to continue reading this page to learn more.
- Hidden Penis Causes
- Hidden Penis Complications
- Hidden Penis and Weight Loss
- Hidden Penis Treatment Options
- Hidden Penis Recovery
- Hidden Penis Treatment Cost
What Causes a Hidden Penis?
A pannus penis occurs when the genitalia is obstructed by an overly enlarged fatty upper pubic area (FUPA) or escutcheon. Potential causes for this issue include:
- Congenital fatty tissue deposits
- Major weight changes (gain or loss)
- Excess skin (i.e., after dramatic weight loss)
- Overly aggressive circumcision
- Release of the dartos fascia (a rare complication linked to tummy tuck surgery)
What Kind of Complications Are Associated With a Hidden Penis?
The psychological toll of a hidden penis cannot be overstated. The inability to see or feel one’s penis can have a profound effect on body image, self-esteem, and overall mental well-being. Accordingly, patients with this condition may experience a range of emotions, including anxiety, depression, and embarrassment.
Social and sexual interactions may also become more difficult. In fact, men with a hidden penis may avoid intimacy altogether due to concerns about their appearance or functionality. The condition can contribute to feelings of inadequacy and frustration, further exacerbating a patient’s mental health struggles.
Moreover, failure to treat a hidden penis can lead to numerous physical complications, such as:
- Skin infections
- Fungal growth
- Rashes and inflammation of the penile skin
- Urinary tract infections (UTIs)
- Erectile dysfunction
- Hygienic issues to due phimosis (inability to retract foreskin)
Without intervention, these risks can increase over time, which makes it even more crucial to seek medical treatment at the earliest opportunity. In the majority of cases, Dr. Perry also advises those experiencing a hidden penis to seek counseling or therapy.
Can Weight Loss Cure a Hidden Penis?
While weight loss may help reduce some of the fat around the pubic area and improve the appearance of the hidden penis to a degree, it is often not enough to fully resolve the condition. Excess skin and tissue, especially in cases where the hidden penis has developed over years, may persist even with massive weight loss. It is also important to note that weight loss alone cannot address the psychological and functional concerns associated with the condition.
For those who are overweight or obese, a combination of weight loss and surgery may be required to achieve the best results. That said, surgery is still typically necessary for a full recovery.
How Is a Hidden Penis Treated?
The most effective treatment for a hidden penis is surgical intervention. In younger men with significant fat accumulation around the genital area, liposuction can help reduce excess fat and increase penile visibility. Alternatively, an elevation of the FUPA may achieve similar results while enhancing the area’s overall appearance. Typically performed under general anesthesia, this surgery includes skin excision, quilting sutures, and, if needed, techniques like suspensory ligament release for slight lengthening, skin tacking for better definition, and “z-plasty” to address webbing. Removing excess skin above and below the penis can further restore its appearance and improve functionality; meanwhile, in chronic phimosis cases, penile skin usually needs to be replaced, as scarring can become quite severe.
Surgical intervention is most effective when performed early, particularly in childhood or adolescence. Delaying treatment risks increased tissue damage, heightened psychological distress, and more complex recovery. For adults, early surgery can restore sexual function, improve hygiene, and reduce infection risks, greatly enhancing the patient’s quality of life.
What Is Recovery Like After Hidden Penis Treatment?
Recovery from surgery to correct a hidden penis typically lasts from two to four weeks, depending on the complexity of the procedure. Drains are rarely necessary for hidden penis surgeries, but they may be used to reduce initial swelling, which can last up to three months. Post-operative follow-ups are scheduled at one week, one month, and one year, with additional visits welcomed as needed.
How Much Does Hidden Penis Treatment Cost?
The cost of hidden penis treatment can vary based on the specific procedure required. During your consultation, our team will provide a detailed breakdown of the expenses related to your customized plan.
Insurance coverage for these procedures may be limited, as many plans do not cover surgeries related to cosmetic conditions unless deemed medically necessary. As such, it is important to check with your insurance provider to understand what is covered. Please also note that we offer financing options to help make treatment more accessible to eligible patients.
If you or someone you know is experiencing a hidden penis, we urge you to contact Chrysalis Cosmetics. Dr. Perry and the rest of our team look forward to improving your health and well-being.
