Surgical correction of ectopic penis and scrotum associated with bilateral orchidopexy

Abstract

Ectopic penis is usually associated with penoscrotal transposition, and it is rarely observed in isolation. We report a surgical approach for an extremely rare case. A 10-year-old male patient with bilateral cryptorchidism and ectopic penis and scrotum in perineal area, with no penoscrotal transposition, representing an association not yet described in literature. A previous orchiopexy failed due to ectopic scrotum. By means of an inverted Y incision, the penis was mobilized and a perineal skin flap in form of a testicular sac was prepared. Finally orchiopexy was performed. The surgery was essential to treat cryptorchidism and to improve the self-image of the patient.

One stage rotation flap scrotoplasty and orchidopexy for the correction of ectopic scrotum: A case report

“…Daniel et al shared their experience of performing rotation flap scrotoplasty followed by subsequent orchidopexy in the following 6 months after the first surgery 4 . On the other hand, Filho et al used perineal scrotal skin flaps to prepare the scrotal sac 5 . A single staged rotation flap scrotoplasty with immediate orchidopexy formed the basis of reconstructive repair in our patient.…”

The Utility of Double Opposing Transposition Flaps in the Management of Inguinal Ectopic Scrotum: Surgical Experience and Literature Review

“…Briefly, such techniques might include excision of the ectopic hemiscrotum with mobilization of the testis into the opposite hemiscrotum as described by Elder and Jeffs (1982) and Guha (1979) [6,7]. Sobral Filho et al described an inverted Y incision that utilizes the perineal skin flaps in the scrotal sac reconstruction [8]. Lamm and Kaplan described a method in which the ES was brought into the normal position and sutured to the lateral aspect of the normotopic scrotum by a rotation flap [9].…”