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

Wahyudi, Irfan; Deswanto, Isaac Ardianson; Situmorang, Gerhard Reinaldi; Rodjani, Arry

doi:10.1016/j.eucr.2019.100886

Cited by 6 publications

(7 citation statements)

References 5 publications

(4 reference statements)

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“…ES and concurrent ectopic testes are the results of defective gubernaculum formation, which can be caused by mechanical, genetic, chromosomal, or teratogenic damage. Rare ectopias can be caused by abnormal migration or premature fission of the labioscrotal swellings (2,12,14,15). Reviewing the literature, we found that most ES were associated with other congenital malformations, but a few of them complicated with VATER/VACTERL syndrome were reported.…”

Section: Discussionmentioning

confidence: 91%

“…Ectopic scrotum (ES), commonly accompanied by other congenital malformations, is a kind of congenital scrotal anomaly. Mainly found in the inguinal, suprainguinal, infrainguinal, or perineal area, ES can occur anywhere from the inguinal canal and the perineum to the middle of the thigh (1)(2)(3)(4). Depending on the relative position of the penis and scrotum, penoscrotal transposition can be classified into incomplete transposition and complete transposition.…”

Section: Introductionmentioning

confidence: 99%

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Ectopic scrotum and penoscrotal transposition: Case report and literature review

Huang

Liu²,

Li³

et al. 2023

Front. Pediatr.

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BackgroundEctopic scrotum (ES) is an extremely rare congenital scrotal malformation. Ectopic scrotum with VATER/VACTERL [vertebral defects (V), anal atresia or anorectal malformations (A), cardiac defects (C), tracheoesophageal fistula with or without esophageal atresia (TE), cardiac defects, renal malformations (R), and limb defects (L)] association is even rarer. There are no uniform guidelines for diagnosis and treatment.Clinical caseWe described a 2-year-5-month-old boy who has ectopic scrotum and penoscrotal transposition and reviewed relevant literature in this report. We performed laparoscopy exploration, rotation flap scrotoplasty, and orchiopexy and achieved a great result during the postoperative follow-up.ConclusionsCombined with the previous literature, we made a summary to come up with a plan for the diagnosis and treatment of ectopic scrotum. Rotation flap scrotoplasty and orchiopexy are worthy of considering operative methods in treating ES. For penoscrotal transposition or VATER/VACTERL association, we can treat the diseases individually.

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Section: Discussionmentioning

confidence: 91%

Section: Introductionmentioning

confidence: 99%

Ectopic scrotum and penoscrotal transposition: Case report and literature review

Huang

Liu²,

Li³

et al. 2023

Front. Pediatr.

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“…Various surgical techniques have been described, from hemiectopic scrotum removal and testis mobilization towards the opposite hemiscrotum, to Z-plasties and cutaneous rotation flaps (8) . I. Wahyudi et al recently published a one-stage scrotoplasty with rotation flap, with good results (9) . M.E.…”

Section: Discussionmentioning

confidence: 99%

Buried penis secondary to ectopic scrotum

Bautista¹,

Ortiz²,

Burgos³

et al. 2022

Cir Pediatr

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Introduction. Ectopic scrotum is a rare clinical entity, potentially associated with other congenital abnormalities. We present the case of a patient with buried penis secondary to ectopic scrotum. The surgical technique was described, and a literature review was carried out.Clinical case. 1-year-old patient with ectopic right hemiscrotum and the testes within the scrotal sac. A double Z-plasty was performed with two flaps -one above the penis, surrounding the ectopic scrotum, and the other one at the scrotum to modify the bifid scrotum. The upper flap was rotated downwards, which allowed ectopy to be repaired, and the lower flap was used to repair bifidity. No postoperative complications were recorded. Follow-time was 6 months, with good final cosmetic results.Discussion. Ectopic scrotum is an infrequent congenital malformation. Cutaneous rotation flaps with Z-plasties are a valid treatment option, with good long-term cosmetic results.

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“…This surgery is relatively straightforward and results in a pleasing cosmetic outcome. 10, 11 The limitation of this study is that the etiology of giant lymphedema remains unknown, whether caused by radiation, malignancy or congenital.…”

Section: Case Reportmentioning

confidence: 97%

A single-stage reconstruction on giant scrotal lymphedema: a case report

2022

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Introduction: Scrotal lymphedema is a rare condition characterized by the swelling of the scrotal skin due to deterioration in lymphatic drainage. Although not life-threatening, chronic lymphedema is disabling with significant physical and psychological morbidity and complications, including impaired hygiene, urinary incontinence and immobility. This report aimed to describe the diagnosis and treatment of giant scrotal lymphedema. Case Presentation: A 23-year-old man presented with a gradually enlarging scrotum. Physical examination of the genitalia shows that the patient’s penis was difficult to identify, and testes were completely impalpable due to the thickness of the scrotal skin. There were neither inguinal lymph node enlargement nor other skin lesions on the scrotum. The scrotum was homogenous, with a measured dimension of 35 cm x 28 cm x 20 cm anterior to posterior. Laboratory evaluation, including complete blood count, complete metabolic panel, human immunodeficiency virus, sedimentation rate, and antibodies to strongyloides, schistosomes, and filaria, were within normal limits. The penis and testes were normal-sized and clearly demarcated from computed tomography scan, buried within the hardened scrotal soft tissues, with no signs of testicular tumor or any pelvic lymph node enlargement. Conclusion: Scrotal lymphedema is a rare condition characterized by the swelling of the scrotal skin due to deterioration in lymphatic drainage.

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

Cited by 6 publications

References 5 publications

Ectopic scrotum and penoscrotal transposition: Case report and literature review

Ectopic scrotum and penoscrotal transposition: Case report and literature review

Buried penis secondary to ectopic scrotum

A single-stage reconstruction on giant scrotal lymphedema: a case report

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