Penis Curvature 1 (Hypospadias)
4.7-year-old boy with anterior hypospadias. Striking curvature of the penis = deviation of the longitudinal axis of the penis in the sagittal plane in a ventral direction.
On precise inspection from the side, there are two additional findings besides the suspected curvature of the penis shaft: 1) Severe tilting of the glans, and 2) midline web at the angle between the root of the penis and the raphe of the scrotum = webbed
penis or palmure of the penis. The latter may be observed as an isolated anomaly or combined with hypospadias, and simulate a micropenis.
During surgery, the tilting of the glans and the webbed penis has to be considered, as well as a possible curvature of the penis shaft; the latter can be excluded by an artificial erection. The webbed penis needs a Z-plasty.
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