Prolapsed Cervix

Figure 4.63. Mild procidentia (prolapse of the uterus) in an otherwise normal newborn.

Severe Prolapsed Uterus

Figure 4.64. This neonate has a severe procidentia (prolapse of the uterus) to such a degree that the cervix protrudes from the vaginal outlet. The infant had an associated meningomyelocele. Procidentia in the newborn is almost invariably associated with neural tube defects.

Neural Tube Defects

Figure 4.65. In this infant there is duplication of the external genitalia. Note the two vaginal orifices. Duplication of the external genitalia is extremely rare. It has been reported as part of an apparent sagittal mirror-image doubling of the posterior axis of the embryo. Partial or complete duplication of the vagina, labia, penis or scrotum may be caused by inadequate androgenic stimulation or end-organ unresponsiveness during late fetal life.

Figure 4.64. This neonate has a severe procidentia (prolapse of the uterus) to such a degree that the cervix protrudes from the vaginal outlet. The infant had an associated meningomyelocele. Procidentia in the newborn is almost invariably associated with neural tube defects.

Figure 4.65. In this infant there is duplication of the external genitalia. Note the two vaginal orifices. Duplication of the external genitalia is extremely rare. It has been reported as part of an apparent sagittal mirror-image doubling of the posterior axis of the embryo. Partial or complete duplication of the vagina, labia, penis or scrotum may be caused by inadequate androgenic stimulation or end-organ unresponsiveness during late fetal life.

Figure 4.66. This infant has duplication of the external female genital tract with other associated anomalies which include omphalocele, absent rectus muscle, and congenital heart disease.

Abnormal Size Penis

4.66

4.68

4.69

4.69

Empty Scrotums

Figure 4.69. Bilateral undescended testes with an empty scrotum in a term male infant.

Figure 4.67. Normal external genitalia in a term male infant. In the newborn male, the relatively large size of the phallus gives the baby the appearance of being "well-endowed." On examination note the size of the phallus and the presence or absence of testes in die scrotum. An unusually large phallus for age usually indicates abnormal androgenic stimulation of testicular or adrenal origin. A true micropenis may represent either deficient hormonal stimulation during growdi or a failure of early morphogenesis. Midline hypopigmeiitatioii may be noted on die gonads of dark-skinned newborn infants. They may have no odier areas of hypopigmeiitatioii.

Figure 4.68. Normal male genitalia in a premature infant with a gestational age of 34 weeks. Note the lack of fullness of the scrotum due to die undescended testes. Note the presence of few rugae which are only on the undersurface of the scrotum. This appearance is consistent with the gestational age of 34 weeks.

Figure 4.69. Bilateral undescended testes with an empty scrotum in a term male infant.

Figure 4.70. Bilateral hydroceles in a term male infant. Hydroceles arise from an abnormal collection of fluid in the tunica vaginalis which has failed to invaginate following descent of the testis. This is recognized clinically as a scrotal mass diat transillumi-nates. At birth, up to 15 to 20% of male infants may have some degree of hydrocele. Complete spontaneous resolution is to be expected over a period of a few weeks to months.

Figure 4.71. Bilateral hydroceles in a term infant with micropenis. The diagnosis of micropenis should be made after careful examination, as a normal penile shaft may be partially buried in the pubic fat pad in a neonate. Micropenis denotes a truly hypoplastic penile shaft.

Figure 4.70. Bilateral hydroceles in a term male infant. Hydroceles arise from an abnormal collection of fluid in the tunica vaginalis which has failed to invaginate following descent of the testis. This is recognized clinically as a scrotal mass diat transillumi-nates. At birth, up to 15 to 20% of male infants may have some degree of hydrocele. Complete spontaneous resolution is to be expected over a period of a few weeks to months.

Penial Fat Pad
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Responses

  • luam
    What does a prolapsed uterus look like?
    3 years ago
  • selam
    How to reduce pubic fat in males?
    2 years ago

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