Female Genital Abnormalities

Glans Foreskin Fusion

Figure 4.104. A premature infant with a glanular hypospadias and chordee in the act of voiding. Note that the chordee results in a stream of urine always pointing downward, hence the importance of correcting this defect. Note the normal appearance of the developing premature scrotum.

Figure 4.103. Glanular hypospadias with a hooded prepuce (incomplete foreskin) with chordee. Note that the whole ventral surface of the glans is uncovered, with prepuce covering only the dorsum of the glans like a hood. This defect invariably has an accompanying hypospadias. Chordee refers to the ventral curvature of the penile shaft. Severe hypospadias with chordee has more important implications both for its association with other malformations and for urologie repair. The padiogenesis of hypospadias is essentially die same for all degrees of severity in that there is a failure of complete fusion of the margins of the urogenital folds to form the penile urethra.

Figure 4.104. A premature infant with a glanular hypospadias and chordee in the act of voiding. Note that the chordee results in a stream of urine always pointing downward, hence the importance of correcting this defect. Note the normal appearance of the developing premature scrotum.

Figure 4.105. A coronal hypospadias. Note that the urethral sulcus is between the glans and the penile shaft.

Figure 4.106. Penoscrotal hypospadias occurring in the mid or distal penile shaft in a male infant. Infants with penoscrotal or perineal hypospadias may present with the diagnosis of ambiguous genitalia. Both penoscrotal and perineal hypospadias have a strong association with odier structural abnormalities of the genitourinary tract.

Figure 4.106. Penoscrotal hypospadias occurring in the mid or distal penile shaft in a male infant. Infants with penoscrotal or perineal hypospadias may present with the diagnosis of ambiguous genitalia. Both penoscrotal and perineal hypospadias have a strong association with odier structural abnormalities of the genitourinary tract.

Hypospadias Males

Figure 4.107. In this infant with a penoscrotal hypospadias with chordee and some bifurcation of the scrotum, the diagnosis of ambiguous genitalia needs to be considered. The upper portion of the figure shows the genitalia which appear to be fairly normal. In the lower figure, elevation of the penis and separation of the scro-tal sacs show the penoscrotal hypospadias. Beware of assuming the gonads are testes in patients in whom the external genitalia are not totally normal. Karyotyping is essential. In this infant the karyotype was XY.

Normal Meatus
Figure 4.108. In agenesis of the phallus, there is no urethral meatus or anal opening. Note the single scrotal sac with rugal folds. Autopsy findings included renal agenesis, high anal atresia, small bladder, and no urethra.
Infant Genitalia

4.107

Bacterial Vaginosis Facts

Bacterial Vaginosis Facts

This fact sheet is designed to provide you with information on Bacterial Vaginosis. Bacterial vaginosis is an abnormal vaginal condition that is characterized by vaginal discharge and results from an overgrowth of atypical bacteria in the vagina.

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