Jamshed Akhtar, Ijaz Hussain, Ali Raza Brohi, Abdul Aziz.
Penile Agenisis.
J Surg Pak Jan ;4(2):32-3.

A 3.3-kg male baby brought with absence of penis. The scrotum was present but testes were not palpable. No external urethra opening could be identified. On per rectal examination funnel shaped anal canal was found with fluid meconium staining. Further investigations revealed absence of right kidney and bilateral contractures of knee joint. As abdomen was distended sigmoid colostomy was performed. At exploration both testes were found in the abdominal cavity. Patient died of septicemia on 9th day of birth.

Case History: A 3.3 kg baby, born at full term by cesarean section, presented with absence of penis. Mother had regular antenatal visits. On examination patient was tachypnoeic with abdominal fullness. Costal margins were flared up. Distended gut loops could be easily appreciated. Abdomen was soft and no viscera was palpable. The phallus was absent. Scrotum was fully developed but testes were not palpable either in the scrotum or inguinal region. Anus was anteriorly placed with prominent skin tag at 12` clock position. Anal canal was funnel shaped. No urinary opening could be identified in anus or perineum. On per rectal examination, little finger could not be passed beyond 2 cm. On withdrawal fluid meconium came out. Bilateral contractures of knee joints were present. Left talipes calcaneovalgus was also present.

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