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Pediatric Urology for Families
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Testis / Scrotum / Labial Conditions
Penile Conditions
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Pediatric Urology for Families
Penis
Penis
Pee hole small, urine goes up
Meatal Stenosis
Stream is deflected upwards due to very small pee hole
Happens in circumcised boys
Tight foreskin doesn't pull back
Phimosis
Normal at birth but over time foreskin should loosen and allow head to come out, allow cleaning
Happens in natural penis (no circumcision)
Penile skin stuck to head of penis
Penile Adhesions
Will usually resolve on their own over time (in circumcised and uncircumcised boys)
Penile Skin Bridge
Thick band of tissue connecting shaft and head requiring intervention at some point
Happens in circumcised boys
Pee tube is short, opening low
Hypospadias
Asymmetrical foreskin, opening lower than the tip, often some bending of the shaft as well
Can be a reason not to do a circumcision at birth
May or may not require surgery
Penis is bent
Chordee
Can be bent downwards (ventral chordee)
Can be bent sideways (Iateral chordee)
Can be a reason not to do a circumcision at birth
May or may not require surgery
Penis is twisted
Penile Torsion
Penis is rotated at the base so that opening typically "looks" towards his left side
Can be a reason not to do a circumcision at birth
May or may not require surgery
Penis is buried or hidden
Penoscrotal Webbing
Unusual connection between the penis and scrotum such that scrotal skin is attached too high up on penis
Can be a reason not to do a circumcision immediately at birth
May or may not require surgery
Foreskin is pulled up and can't come back down over head
Paraphimosis
Head of penis starts to swell and tight foreskin can no longer cover it
Can cut off blood supply to head of penis
Surgical emergency! (May require emergency circumcision)
Happens only to natural penis/uncircumcised boys
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