Complete penoscrotal transposition: A three-stage procedure

Abstract

Complete penoscrotal transposition (CPST) with an intact scrotum is a rare anomaly in which the scrotum is located cephalic to the penis. It is the most severe degree of malformation of a spectrum of abnormalities in scrotal development. There are few cases reported in the literature, and there are few descriptions of the technique for correction and results. We describe a new case of CPST and its sequential correction.

A rare case of complete penoscrotal transposition with hypospadias in a newborn

“…PST is a very rare clinical situation in which the scrotum is located anterior and superior to the penis and a severe degree of PST, as in our case, with hypospadias and normal scrotum have been infrequently reported in medical literature ( 1 , 3 , 4 ) . During normal human maturation, scrotal swellings move inferomedially during the 9 th -11 th week, and fuse in the midline caudal to the penis by the 12 th week of gestation ( 4 ) .…”

Prepenile Scrotum- An Extreme Form of Penoscrotal Transposition

“…Usually an operative correction is offered at 12-18 months of age [5]. Somoza et al had successfully demonstrated a 3-staged correction, 1st stage being done at 18 months of life after topical Testosterone application [1]. Our patient has been discharged with a plan to do a staged repair at around the same age.…”

“…A pre-penile scrotum or a complete penoscrotal transposition [CPST] is a rare congenital anomaly where the phallus lies between the scrotum and anus. Less than 20 cases of CPST with intact scrotum are reported in the literature [1]. Most of the cases are sporadic.…”

Surgical correction of ectopic penis and scrotum associated with bilateral orchidopexy

“…As an isolated abnormality, there are less than 20 cases described in the literature. 3 Ectopic scrotum is the rarest anomaly of this gland. 4 In the patient herein reported, the ectopic penis and scrotum represented an association not described in the literature yet.…”