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Penoscrotal Transposition

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Hypospadias Surgery

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Abstract

Penoscrotal transposition (PST) is a rare congenital genital anomaly in which the scrotum is positioned lateral to and above the penis. It may result from arrested caudal migration of the labioscrotal folds which lie lateral to the genital tubercle early during development. When this is associated with underdevelopment of the median raphe, PST will be associated with bifid scrotum. PST may be partial, complete, or associated with bifid scrotum in perineal hypospadias. It is recommended to delay the correction of PST to a second stage after correction of hypospadias in order not to interfere with the blood supply of the penile skin or fascial flaps during the hypospadias operation. The principle of surgical correction is to make two triangular incisions, including the scrotal skin on either side of the penis that are mobilized downward and sutured together below the penis in the midline.

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Abbreviations

PST:

Penoscrotal transposition

References

  1. Broman I. Normale und Abnorme Entwicklung des Menschen. Norm und Abnorme Entwicklung des Menschen. 1911; https://doi.org/10.1007/978-3-642-51340-4.

  2. Forshall I, Rickham PP. Transposition of the penis and scrotum. Br J Urol. 1956; https://doi.org/10.1111/j.1464-410X.1956.tb04764.x.

  3. Campbell MF. Anomalies of the genital tract. In: Campbell MF, Harrison JH, editors. Urology. 2nd ed. Philadelphia: Saunders; 1963. p. 1749.

    Google Scholar 

  4. Dillon BJ, Alomari AI. Angiographic demonstration of an aberrant abdominal umbilical artery in a patient with penoscrotal transposition and caudal regression. Surg Radiol Anat. 2009; https://doi.org/10.1007/s00276-008-0411-9.

  5. Griffith CB, Probert RC, Vance GH. Genital anomalies in three male siblings with Simpson-Golabi-Behmel syndrome. Am J Med Genet A. 2009; https://doi.org/10.1002/ajmg.a.33047.

  6. Fahmy MAB, El Shennawy AAA, Edress AM. Spectrum of penoscrotal positional anomalies in children. Int J Surg. 2014; https://doi.org/10.1016/j.ijsu.2014.08.001.

  7. Ehrlich RM, Scardino PT. Surgical correction of scrotal transposition and perineal hypospadias. J Pediatr Surg. 1982; https://doi.org/10.1016/S0022-3468(82)80205-4.

  8. Retik AB, Mandell J, Bauer SB, Atala A. Meatal based hypospadias repair with the use of a dorsal subcutaneous flap to prevent urethrocutaneous fistula. J Urol. 1994; https://doi.org/10.1016/S0022-5347(17)32555-7.

  9. Mori Y, Ikoma F. Surgical correction of incomplete penoscrotal transposition associated with hypospadias. J Pediatr Surg. 1986; https://doi.org/10.1016/S0022-3468(86)80652-2.

  10. Campbell MF. Anomalies of the genital tract. In: Campbell MF, Harrison JH, editors. Urology. 3rd ed. Philadelphia: Saunders; 1970. p. 1576–7.

    Google Scholar 

  11. McIlvoy DB, Harris HS. Transposition of the penis and scrotum: case report. J Urol. 1955; https://doi.org/10.1016/S0022-5347(17)67437-8.

  12. Glenn JF, Anderson EE. Surgical correction of incomplete penoscrotal transposition. J Urol. 1973;110:603–5.

    Article  CAS  Google Scholar 

  13. Diez García R, Bañuelos A, Marín C, de Tomás E. Peno-scrotal transposition. Eur J Pediatr Surg. 1995;5:222–5.

    Article  Google Scholar 

  14. Shanberg AM, Rosenberg MT. Partial transposition of the penis and scrotum with anterior urethral diverticulum in a child born with the caudal regression syndrome. J Urol. 1989; https://doi.org/10.1016/S0022-5347(17)38988-7.

  15. Glassberg KI, Hansbrough F, Horowitz M. The Koyanagi-nonomura 1-stage bucket repair of severe hypospadias with and without penoscrotal transposition. J Urol. 1998; https://doi.org/10.1097/00005392-199809020-00038.

  16. Pinke LA, Rathbun SR, Husmann DA, Kramer SA. Penoscrotal transposition: review of 53 patients. J Urol. 2001;166:1865–8.

    Article  CAS  Google Scholar 

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Authors and Affiliations

  1. Hypospadias Center and Pediatric Surgery Department, Sana Klinikum Offenbach, Academic Teaching Hospital of the Johann Wolfgang Goethe University, Offenbach, Frankfurt, Germany

    Ahmed T. Hadidi

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  1. Ahmed T. Hadidi
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Editors and Affiliations

  1. Hypospadias Center and Pediatric Surgery Department, Sana Klinikum Offenbach, Academic Teaching Hospital of the Johann Wolfgang Goethe University, Offenbach, Frankfurt, Germany

    Ahmed T. Hadidi

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Hadidi, A.T. (2022). Penoscrotal Transposition. In: Hadidi, A.T. (eds) Hypospadias Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-94248-9_49

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  • DOI: https://doi.org/10.1007/978-3-030-94248-9_49

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-94247-2

  • Online ISBN: 978-3-030-94248-9

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