Penoscrotale Hypospadias vs. Burried Penis (Micropenis)
Left picture: Here, a severe type of hypospadias is present, a so-called penoscrotal hypospadias. Right picture: The diagnosis is a so-called burried penis, which means a penis that seems to be a micropenis due to or hidden by obesity. Left picture: Only a precise examination yields informations on the actual pathology and allows to discard the first impression of intersexual external genitals. In the additional figure at the bottom the penis is elevated, and the scrotum unfolded. In both scrotal halves a testis of normal size is visible and palpable. The penis has a ventral curvature, its ventrally split foreskin is adherent to the right circumference of the glans, and the urethral orifice lies at the beginning of the bifid (ventrally split) scrotum. Right picture: In the additional picture the suprapubic fatty tissue has been moved to the top, revealing a developed penis corresponding to the age of the patient. On the right side the retractile testis has entered spontaneously the scrotum.
Left picture: External genitals in an infant. The penis-like structure localized in the center of the picture is small and lies between two structures similar to a scrotum. Notice the skin folds suggestive of a scrotum. Right picture: External genitals in a toddler. The penis is very small. The two scrotal halves seem split and appear slack in relation to the other visible body parts.