Z-Plasty, the remedy
for a peno-scrotal web
What is a peno-scrotal web and how does it form?
The nature of the problem is well illustrated in the middle photo below. In contrast to a normal adult male, this patient has a web of skin stretched between his scrotum and the ventral aspect (the underneath) of his penis, in this instance reaching as far as the circumcision scar and apparently forming a continuous structure with the frenulum.
The abnormality can be congenital (a birth defect) or a result of over-aggressive circumcision in infancy. For details of the paediatric implications when the condition is discovered in a newborn child, please see CIRCLIST's page on contra-indications here
The remedy is a surgical intervention called z-plasty. The immediate post-operative result is shown above right. In essence the procedure involves surgical reconstruction of the raphe but adjustment of dartos tissue may also be required.
To return to the previous page that you were viewing, please use the BACK button of your browser. Alternatively, click on a link in the text above or choose another topic from the navigation panel below.
Copyright © 1992 - 2013, All Rights Reserved CIRCLIST.