Penile Anomalies: Torsion and Deviation

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6 Questions

What type of abnormal position and attachment is associated with torsion?

Torsion

Where is the most common location for penile torsion?

Distal

What is the name of the condition where the penis is buried beneath the scrotal skin?

Concealed penis

Which of the following locations is associated with bifid scrotum?

Scrotal

What is the term for the web-like tissue that connects the penis to the scrotum?

Penoscrotal web

What is the sub-type of distal location for penile torsion?

All of the above

Study Notes

Abnormalities of the Attachment of the Penis

Penile Torsion

  • Penile torsion is a rotational defect of the penile shaft, usually rotating to the left side (counterclockwise direction).
  • Rarely, it can rotate to the right side.
  • Often associated with hypospadias.
  • In most cases, the median raphe spirals obliquely around the shaft, rather than being in the midline.

Penile Chordee

  • Congenital chordee is caused by reduced elasticity in one or more fascial layers of the penis.
  • Leads to shortness of the corpus spongiosum when erection occurs.
  • Abnormalities include:
    • Torsion
    • Penoscrotal web
    • Concealed penis

Types of Penile Chordee

  • Classified based on location:
    • Distal (most common)
      • Glanular
      • Coronal/subcoronal
      • Distal penile shaft
    • Mid-shaft: Middle penile shaft
    • Proximal: Proximal penile shaft
    • Penoscrotal
    • Scrotal: Associated with bifid scrotum

This quiz covers abnormalities of the penis, specifically penile torsion or deviation, a rotational defect of the penile shaft. Learn about the different directions of rotation.

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