外科治療隱藏式陰莖已較以往普遍，然而不適當的手術可能再次的將陰莖埋藏起來，甚而導致陰莖的殘廢。本文評估在青少年有隱藏式陰莖手術後的併發症及手術後引起之泌尿問題。本文報告在七位男孩施行隱藏式陰莖手術後再發的情況，我們發現所有的病人最初都有隱藏式陰莖，而且病人已接受一次以上的矯正手術，然而我們發現所有的病人都有內縮的陰莖，陰莖皮膚短缺和陰莖索帶，陰莖深埋在結癖的皮膚下引起小便滯留及小便因難。我們的手術方法包括切開結癖的組織，剝離陰莖腹側的索帶，切開陰莖韌帶，重新將陰莖根部的皮下組織帶到恥骨的骨膜上，並且利用移植皮來覆蓋陰莖腹側的皮膚缺損。運用以上方法可成功的矯正再發性隱藏式陰莖。再發性隱藏式陰莖應該小心處理，因為不當的治療可引發更嚴重的埋藏，甚而造成殘廢的陰莖。

Surgical treatment of a buried penis is becoming more common than before. However, in-appropriate operation may re-bury the penis and result in crippled penis. Treatment of the bur-ied or “re-buried” penis should be careful. We assessed urological problems and complications after surgery in adolescents with buried and re-buried penis. We reported 7 boys with a recur-rence of buried penis after surgery. All of them had undergone a primary operation for correc-tion of a buried penis followed by one or two revisions due to unsatisfactory results. All had a trapped penis, shortage of penile skin and ventral chordee, which was beneath an annular cica-trix resulting in voiding difficulty or urinary retention. Our operations involved incision of the ring of hypertrophic scar tissure, release of the ventral chordee, repositioning of the penile skin, incision of the suspensory ligament of the penis, re-anchoring of the skin at the base of the penis to the pubic periosteum and transposition of a split-thickness skin graft for ventral shaft cover-age. Satisfactory cosmetic and functional results were achieved in all the cases. Inadequate sur-gery for a buried penis could re-bury the penis and the subsequent revisions may worsen the burial. Recurrent buried penis should be corrected appropriately since further operations in-crease the risk of re-burial and, even worse, may result in a crippled penis. (J Urol R.O.C., 8:135-141,1997)