Complete penoscrotal transposition associated with anorectal malformation: A case report

Abstract

Habou Oumarou1*, Hamissou Laouli Saadou1, Ali Ada Mahamoud Omid2, Moustapha Hellé2, Halidou Maazou3, Abarchi Habibou2

Complete Penoscrotal Transposition (CPST) is an exceptional and complex urogenital malformation, of etiology not yet understood. We report the case of a new-born admitted to our department for external genitalia anomaly with anal imperforation. Physical examination reveals a complete penoscrotal trans position, with a normal scrotum and hypoplasia of the penis, associated with a totally occlusive anorectal malformation. At the invertogram, the rectal cul de sac was located in the Stephens-Kelly triangle. The malformation assessment did not objectify other anomalies. A colostomy was performed as an emergency and the correction of the anorectal malformation by Posterior Sagital Anorectoplasty (PSARP) was done at the age of 3 months, followed by closure of the stoma 3 weeks later. At 20 months, a surgical correction of de CPST by penis up transfer was performed. The recovery was uneventful and cosmetic result was satisfactory at 4-months follow-up.