Anomalies of the penis and scrotum in adults: A multidisciplinary approach

In this thesis the diagnosis and treatment of abnormalities of penile and scrotal anatomy have been reported. The most widely used technique for (optical) lengthening is the cleaving of the ligament between the pubic bone and the penis. The operated men who had already achieved a penis-length of 7.5 cm in erection, were not satisfied with the result. This particular patient category should therefore be dissuaded from surgery. Some man can have an “acute erection angle”, were the angle of the erect penis is too tight against their belly. This may be caused by a short ligament between the pubis and the penis, severe curvature at the penopubic level, or a combination of both. The surgical treatment options are; partial release of the ligaments, removal of pieces of the sheath surrounding the corpora, or a combination of both. Genital lymphoedema is a swelling of the male genitals caused by blockage of lymph fluid. It may cause problems with hygiene, urinary incontinence, inability to have sexual intercourse, and even immobility. The most effective treatment is surgical excision of the affected tissue. In Peyronie's disease there is a plaque fibrous tissue in the penis, causing a curvature of the penis during erection. We found that in 22% of 415 investigated Peyronie patients, there was a coexisting Dupuytren’s disease (contracture of one or more fingers). Given the increased recognition of Peyronie’s disease, as well as the emerging treatment currently being used for Dupuytren’s disease, the association between these two disorders should grow in importance