The Role of Plastic Surgery in the Treatment of Recurrent and Large Penile Keloid

Penile keloid is an extremely rare condition that most commonly occurs as a complication of circumcision. In this article, we describe a unique case of recurrent, large penile keloid formation after circumcision in an 11-year-old White boy. This was treated by surgical excision and reconstruction of penile shaft by skin graft followed by serial intradermal steroid injections. A good aesthetic outcome was achieved with no keloid recurrence during a 1-year follow-up. In addition, we extensively reviewed all available literature studies of penile keloid from 1966 to 2021 with their treatments and outcomes. We summarized all reported cases and presented them in a comprehensive table.