๐Ÿ” Chapter 581 ยท Anomalies of the Penis and Urethra

Nelson Textbook of Pediatrics 22nd Edition | Hypospadias (1/200 male newborns), epispadias, chordee, phimosis, paraphimosis, circumcision indications/complications, micropenis, priapism (sickle cell), meatal stenosis, urethral prolapse (female).

๐ŸŒ paeds.online โ€” Pakistan's Pediatric Platform

๐Ÿ“‹ 30 Clinical Scenarios โ€” Penis & Urethra Anomalies

๐Ÿ“‡ Highโ€‘Yield Review Cards (Penis & Urethra)

๐Ÿฉบ Clinical Recognition: Penile & Urethral Anomalies

Select a presentation for diagnostic clues and management.

๐Ÿ“‹ Stepwise Approach to Penile & Urethral Anomalies

๐Ÿ”‘ Key Principles โ€” Nelson Ch 581
โ€ข Hypospadias: Ventral meatus, dorsal hood, chordee. 65% distal. DO NOT circumcise (foreskin used for repair). Repair at 6-12 months. Success 95% (distal) to 60% (proximal).
โ€ข Phimosis: Physiologic at birth. By 3 years, 80% retractable. Persistent phimosis โ†’ topical steroids. Paraphimosis: emergency; reduce edema, manual reduction.
โ€ข Circumcision: UTI prevention (10-15x reduction). Contraindications: hypospadias, chordee, hidden penis, micropenis.
โ€ข Priapism: Most common in sickle cell disease. Low-flow (ischemic): corporal aspiration + phenylephrine. High-flow (traumatic): observation or embolization.
โ€ข Urethral prolapse (female): Bloody spotting, 1-9 years. Estrogen cream or surgical excision.

    โšก Reflex Prompts โ€” Clinical Decisions in Penile/Urethral Anomalies

    ๐Ÿ“– Summary: Anomalies of the Penis and Urethra โ€” Nelson Ch 581