Phimosis or congenital megaprepuce?

Abstract

1 Kjzegaard B, Walter S, Bartholin J et al. Prevention of urethral stricture recurrence using clean intermittent self catheterization. Br 7

Benign penile skin anomalies in children: a primer for pediatricians

“…Next to these, megaprepuce has more recently been added. [40] Buried penis A buried penis refers to a normal-sized penis buried in prepubic tissue. A normal penis can be buried by large scrotal masses, such as hernias and/or hydroceles or by the presence of suprapubic fat in obese patients (Fig.…”

“…It has been widely debated whether such skin excess is congenital or acquired because of progressive stretching of the inner preputial mucosa during micturition in a phimotic prepuce. [40] However, some megaprepuces do not have associated phimosis. [44] Webbed penis This is normally the result of abnormal dartos bands anchoring the penile skin on the surface of the scrotum.…”

Common urological problems in children: prepuce, phimosis, and buried penis

“…Maizels et al 58 further elaborated in 1986, offering new classifications as 'buried penis' (patients with redundant suprapubic fat and/or lack of penile skin anchoring to deep fascia), 'webbed penis' (scrotal skin webs the penoscrotal angle to obscure the penis), 'trapped penis' (the shaft of the penis is entrapped in the scarred, prepubic skin following trauma/overzealous circumcision), 'micro-penis' (a normally formed penis that is less than two standard deviations below the mean size in the stretched length), and 'diminutive penis' (a penis that is small and/or malformed as a consequence of epispadias/exstrophy, severe hypospadias, disorder of sexual differentiation, or chromosomal anomalies). O'Brien et al 59 described another condition called 'congenital megaprepuce' in 1994 that includes a phimotic ring and large preputial sac. Despite these studies, buried penis is still not a well-defined or well-classified entity.…”

Megaprepuce Associated with Vesicoureteric Reflux

“…It is formed by a midline collision of ectoderm, neuroectoderm and mesenchyme, resulting in a pentalaminar structure composed of a sqamous mucosal epithelium, lamina propria, dartos muscle, dermis and outer glabrous skin [1, 2]. Megaprepuce is an enormous prepuce with a urinary capacity as large as the urinary bladder [3]. It is a rare condition in which the patient presents with gross spheroidal swelling replacing the external genitalia.…”