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Penoscrotal Transposition and Bifid Scrotum
Penoscrotal transposition is a rare malformation with a scrotal position superior and anterior to the penis. Additional scrotal malformations (bifid scrotum, see below), penile malformations (hypospadias), or chromosomal anomalies (Klinefelter syndrome) are common. Penoscrotal transposition is corrected surgically: separation of both hemiscroti with readaptation of the hemiscroti caudal to the penis. In severe cases, plastic techniques such as V-Y plasty are used to relocate the scrotal halves. Correction of penoscrotal transposition should not be performed simultaneously with hypospadias surgery (Ebert et al., 2010).
Both hemiscroti are not fused in the midline, and a raphe is absent. The bifid scrotum is often a partial aspect of penoscrotal transposition or associated with hypospadias but may also occur singly. The bifid scrotum is considered a clinical sign of a partial androgen insensitivity syndrome; further examinations are necessary. For therapy, both hemiscroti are surgically mobilized and united in the midline.
|Disorders of sex development
Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
[Pathological findings in the scrotum and testis and initial
Urologe 2010,49, 1476-80, 1482-4
Pinke LA, Rathbun SR, Husmann DA, Kramer SA. Penoscrotal transposition: review of 53 patients. J Urol. 2001 Nov;166(5):1865-8.
Deutsche Version: Monorchie und Polyorchidismus