Correction of penoscrotal transposition: A novel approach

Purpose: Penoscrotal transposition is a rare anomaly resulting in a partial or complete positional exchange between the penis and the scrotum. Time-ho nored repairs of penoscrotal transposition rely on the creation of rotation al flaps to mobilize the scrotum. We offer a radically different approach t o this anomaly by transposing the penis and not the scrotum to its normal a natomical location. Materials and Methods: Transposition of the penis was performed in 15 patie nts. The penis is degloved followed by correction of the chordee. A suprapu bic buttonhole is created in an anatomically correct location for the penis . The degloved phallus is then delivered into this buttonhole. The shaft sk in is mobilized and transposed to resurface the penile shaft. A midline scr otoplasty completes the first stage. The scrotum is never transposed and sc rotal rotational flaps are unnecessary. Results: All 15 patients have had an excellent cosmetic outcome. There have been no cases of vascular compromise to the shaft or scrotal skin. Conclusions: This novel approach produces superior cosmetic results and sho uld be used in all cases of penoscrotal transposition.