The Frequency of Penile and Scrotal Abnormalities in Early Childhood Boys Attending Pediatric Mansoura University Hospital

Abstract

Background: Scrotal and penile anomalies are among the common lesions in children, and some have no gross functional or morphological import on the patient. But many of them can be corrected by surgical operation at the earliest possible period, preferably when less than 2-3 years of age. Objective: To determine the frequency of penile and scrotal abnormalities among boys (between 1-7 years of age) attending Pediatric Mansoura University Hospital. Patients and methods: This was an observational cross-sectional study which set in the Mansoura University Children Hospital over a period of one year (February 2020 to January 2021). The study was undertaken on 5005 boys aged from 1-7 years. Results: 0.2 % of the studied boys have phimosis, 0.3% hooded prepuce, 1.2% concealed penis, 0.8% penile torsion, 0.1% webbed penis and 0.1 % trapped penis. Chordee was detected among 0.4% of the studied cases, 0.4% hypospadias and 0.1 % penile epidermoid inclusion cysts. 0.4% have bifid scrotum, 0.2% scrotal pigmentation and 0.1% of the cases have scrotal hypoplasia. Mean anogenital distance was 4.186 cm ranging from 2.9 and 6.2 cm. Hydrocele and undescended testis (1.2% and 1% respectively). Inguinoscrotal hernia was detected among 1.5%. Highest mean stretched penile length among boys aged from 64 to 86 months (5.92 cm) followed by boys aged 38 to 63 months (5.5 cm) and the least for group aged 12 to 37 months (4.7 cm). Conclusion: External genitalia abnormalities are common in boys. Careful screenings of children are mandatory to avoid the further complications.