Abstract
INTRODUCTION AND IMPORTANCE: Circumcision represents the most common voluntary surgical intervention for male patients, characterized by the surgical excision of the foreskin. Among the potential post-operative complications, a notable condition is the surgically-induced retracted penis, wherein the phallus becomes concealed within the adjacent pubic tissue despite maintaining its standard anatomical dimensions. This clinical presentation typically emerges from medical interventions, including surgical techniques that involve excessive tissue resection, suboptimal surgical approaches, or subsequent scarring that impedes normal penile positioning. CASE PRESENTATION: We report a case of an 11-year-old boy who experienced significant urogenital complications subsequent to an unprofessional circumcision performed at age five. Throughout the subsequent years, the patient's parents noted progressive challenges, including persistent hygiene management issues, recurring urinary tract infections, and micturition-related discomfort. A comprehensive medical assessment revealed extensive dermatological scarring and tissue adhesions circumscribing the penile region, with minimal visibility of the glans. CLINICAL DISCUSSION: The comprehensive management approach for this complex case centered on strategic surgical reconstruction to restore penile functionality and anatomical integrity. The surgical intervention employed a meticulously planned approach that included precise scar tissue excision, comprehensive adhesion release, and advanced reconstructive techniques. CONCLUSION: Complications can arise during circumcision procedures, with excessive removal of skin tissue or incorrect surgical methods potentially leading to penile confinement issues. Swift identification of these complications and appropriate corrective surgery performed by qualified medical professionals is essential for achieving favorable patient outcomes.