Importance of identifying the inconspicuous penis: prevention of circumcision complications

Objectives. To report the incidence of inconspicuous penis in those referred to a pediatric urologist for circumcision or revision of circumcision. Methods. We performed a chart review of 129 boys referred to one pediatric urologist during a 3-year period for circumcision. Results. Of 129 patients, 30 (23%) had evidence of an inconspicuous penis on the physical examination. Eight (9%) of 94 patients referred for the initial circumcision and 22 (63%) of 35 patients referred for a circumcision revision had evidence of an inconspicuous penis on physical examination. Conclusions. Inconspicuous penis is an umbrella term used to categorize several anatomic anomalies that occur in newborn boys. The incidence of inconspicuous penis at physical examination in children referred for circumcision revision is remarkable. Circumcision is best delayed in these newborn patients until a later time.