Experiences in Surgical Correction of Incomplete Penoscrotal Transposition

Lee, Seung Chan; Yoon, Jong Byung

Abstract

Penoscrotal transposition is one of the rare congenital anomalies. We experienced 12 cases of incomplete penoscrotal transposition during the period from January 1978 to September 1983. The obtained results were as follows: 1. The age distribution ranged from 5 to 33 years old, and the average was 15 years old. The n. umber of patients whose age was below 10 years was 5. 2. The associated anomalies were as follows; hypospadia in all cases, undescended testis in 3 cases, utriculus masculine in 3 cases, hydrocele in 1 case and double corpus spongiosum in 1 case. 3. We performed the chordectomy and the scrotoplasty simultaneously as 1st staged operation, and the urethroplasty as 2nd staged operation. In the 1st staged operation, Glenn-Anderson's method was applied in 7 cases, and the combined technique of Glenn-Anderson's method and Byars chordectomy method was applied in 5 cases. 4. The postoperative complications were as follows; Of the 7 cases of Glenn-Anderson's method, 1 case was complicated by ventral curvature of the penis due to scar formation after 1st staged operation, and 2 cases were complicated by urethral fistula after 2nd staged operation. Of the 5 cases of the combined technique of Glenn-Anderson's method and Byars chordectomy method, no complications were found in all cases after 1st and 2nd staged operations.