Penoscrotal Positional (PSP) Anomalies

Abstract

Normal penoscrotal configuration, with the penis overriding the scrotum with its characteristic skin rugae stoping at the base of the penis without creeping and with a preserved angle had a paramount impaction in the psychic satisfaction of a child, but usually this not the case in all children, as partial or complete positional exchange between the penis and scrotum diagnosed infrequently as a rare anomaly which may be manifested in different phenotypes, and minor degree may pass unnoticed, but it may be associated with other genitourinary anomalies. Many pediatric surgeons and urologists believe that this minor positional anomaly is not harmful and usually asymptomatic, but investigating those children and adults who had such abnormality revealed a urinary symptoms in the form of abnormally directed stream, and increased frequency of UTI and they may had a difficulty during intercourse, which may impact their sexual life.