Penoscrotal Positional (PSP) Anomalies
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.
KeywordsCephalic scrotal transposition Central median penile scrotalization Caudal scrotal regression Wide penoscrotal angle Scrotal engulfment Shawl scrotum Prepenile scrotum
(MP4 947 kb)
- 1.Fahmy MAB, Alaa Aldin A, Alshennawy AA, Edress AM. Spectrum of penoscrotal positional anomalies in children. Int J Surg. 2014;12(9):983–8. http://www.sciencedirect.com/science/article/pii/S1743919114004853.CrossRefPubMedGoogle Scholar
- 2.Appleby LH. An unusual arrangement of the external genitalia. Can Med Assoc J. 1923;13:514–6.Google Scholar
- 3.Mcllvoy DB, Harris HS. Transposition of the penis and scrotum: case report. J Urol. 1955;73:540–3.Google Scholar