circumcision combined with release of penile scrotal web
Thursday, May 15th, 2008The penile scrotal web or turkey neck is a problem for some pateints. It creates the optical illusion of a shorter penis on the underside and during penetration the scrotum gains entrance into the vagina.
Penoscrotal webs can be appreciated on uncircumcised men, but more commonly seen on circumcised men when the doctor does not allow for enough remaining skin on the underside of the penis. The remedy in our practice is not the Z-plasty incision which leaves a wavy scar line on the underneath (correcting that tomorrow) but rather to make a narrow inverted V over that portion of the web that attaches to the underside of the penis and allowing it to drop downwards where it belongs, and close the penile skin multilayered and applying steristrips as this area is prone to tension tears,
The underside is closed typically with a minimally extended incision parallel to the normal chevron crease lines of the scrotum for concealment.
Harold M. Reed, M.D.