8. • Gubernaculum – fibromucinous band
connecting proximal tip of vas deferens
to the root of scrotum
Fascia lata in femoral triangle
Pubic tubercle
perineum
scrotum
9. • Hormonal factors :
Testosterone – produced by leydig
cells
• Growth factors :
Epidermal growth factor
Calcitonin gene related peptide
10. History
• Empty scrotum since birth
•May have a swelling in the groin
which is reducible
•May present to the doc with
complications
11. Clinical features
• Empty scrotum
• Underdeveloped
scrotum
• Testis may or may
not be palpable
along the path of
descent
15. When do we investigate?
• If palpable- no inv needed
• Unilateral impalpable- no inv
needed, but USG is done by
many
• Bilateral impalpable- rule out
INTERSEX
23. Abnormal location of the meatus
on the undersurface of the penis
Types :
glanular
penile
penoscrotal
perineal
coronal
24. Characteristic features
• Hooded prepuce
• Meatus located on ventral
aspect
• Glans flat & not conical
• Ventral curvature of shaft
( CHORDEE)
25.
26. Treatment
• DO NOT CIRCUMCISE- prepuce
can be used to construct a neo
urethra
• USG abd to rule out internal
urinary tract pathology
• Ideal age: >6 months- 2yrs
• Surgery : urethroplasty