Deviation of the penoscrotal median raphe: Is it a normal finding or within the spectrum of hypospadias?
Introduction and Objectives: Hypospadias is the most common congenital abnormality of the penis, and is most commonly diagnosed during the postnatal physical examination. However, milder forms of the condition can be difficult to detect, leading to delayed referral to specialist teams. We aim to det...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2014-01-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.129630 |
| _version_ | 1818513958454165504 |
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| author | Arvind Mohan Laura Ashton Milind Dalal |
| author_facet | Arvind Mohan Laura Ashton Milind Dalal |
| author_sort | Arvind Mohan |
| collection | DOAJ |
| description | Introduction and Objectives: Hypospadias is the most common congenital abnormality of the penis, and is most commonly diagnosed during the postnatal physical examination. However, milder forms of the condition can be difficult to detect, leading to delayed referral to specialist teams. We aim to determine whether there is an association between hypospadias and the position of the penoscrotal raphe. Materials and Methods: A case — control study was performed where clinical photographs from children undergoing hypospadias correction were compared with a control group of children without the condition. The position of the penoscrotal raphe was documented as midline, left or right. Pearson’s chi squared test was used to determine significance. Results: Images for 80 children undergoing hypospadias correction were compared with 80 normal children in the maternity ward. 88.8% of the children with hypospadias had a penoscrotal raphe deviated from the midline compared with only 13.8% in the control group (P < 0.0003). Conclusions: Our study demonstrates a significant association between hypospadias and deviation of the penoscrotal raphe from the midline. Consideration should be given to whether to include this finding within the spectrum of abnormalities seen in hypospadias. Examination of the penoscrotal raphe is simple to perform and could aid in the early diagnosis in children with milder forms of the condition. |
| first_indexed | 2024-12-11T00:08:43Z |
| format | Article |
| id | doaj.art-3c2517377f204984a6623dd580eb37b0 |
| institution | Directory Open Access Journal |
| issn | 0970-0358 1998-376X |
| language | English |
| last_indexed | 2024-12-11T00:08:43Z |
| publishDate | 2014-01-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj.art-3c2517377f204984a6623dd580eb37b02022-12-22T01:28:13ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2014-01-014701929410.4103/0970-0358.129630Deviation of the penoscrotal median raphe: Is it a normal finding or within the spectrum of hypospadias?Arvind Mohan0Laura Ashton1Milind Dalal2Department of Plastic Surgery, Royal Preston Hospital, Plastic Surgery Department, Lancashire, UKDepartment of Plastic Surgery, Royal Preston Hospital, Plastic Surgery Department, Lancashire, UKDepartment of Plastic Surgery, Royal Preston Hospital, Plastic Surgery Department, Lancashire, UKIntroduction and Objectives: Hypospadias is the most common congenital abnormality of the penis, and is most commonly diagnosed during the postnatal physical examination. However, milder forms of the condition can be difficult to detect, leading to delayed referral to specialist teams. We aim to determine whether there is an association between hypospadias and the position of the penoscrotal raphe. Materials and Methods: A case — control study was performed where clinical photographs from children undergoing hypospadias correction were compared with a control group of children without the condition. The position of the penoscrotal raphe was documented as midline, left or right. Pearson’s chi squared test was used to determine significance. Results: Images for 80 children undergoing hypospadias correction were compared with 80 normal children in the maternity ward. 88.8% of the children with hypospadias had a penoscrotal raphe deviated from the midline compared with only 13.8% in the control group (P < 0.0003). Conclusions: Our study demonstrates a significant association between hypospadias and deviation of the penoscrotal raphe from the midline. Consideration should be given to whether to include this finding within the spectrum of abnormalities seen in hypospadias. Examination of the penoscrotal raphe is simple to perform and could aid in the early diagnosis in children with milder forms of the condition.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.129630deviationhypospadiaspenoscrotal raphe |
| spellingShingle | Arvind Mohan Laura Ashton Milind Dalal Deviation of the penoscrotal median raphe: Is it a normal finding or within the spectrum of hypospadias? Indian Journal of Plastic Surgery deviation hypospadias penoscrotal raphe |
| title | Deviation of the penoscrotal median raphe: Is it a normal finding or within the spectrum of hypospadias? |
| title_full | Deviation of the penoscrotal median raphe: Is it a normal finding or within the spectrum of hypospadias? |
| title_fullStr | Deviation of the penoscrotal median raphe: Is it a normal finding or within the spectrum of hypospadias? |
| title_full_unstemmed | Deviation of the penoscrotal median raphe: Is it a normal finding or within the spectrum of hypospadias? |
| title_short | Deviation of the penoscrotal median raphe: Is it a normal finding or within the spectrum of hypospadias? |
| title_sort | deviation of the penoscrotal median raphe is it a normal finding or within the spectrum of hypospadias |
| topic | deviation hypospadias penoscrotal raphe |
| url | http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.129630 |
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