Genitalia: Undescended Testis, Acute Scrotum, Buried Penis

Cryptorchid testis is a frequent congenital anomaly of the genitourinary tract, occurring as a consequence of various phenomena, and may be palpable (inguinal region or scrotum) or non-palpable (abdomen). The condition is approximately 10–12 times more frequent in premature than term infants. Laparoscopy is both diagnostic and therapeutic, providing an opportunity for the gold standard orchiopexy. The acute scrotum is due to pain or swelling in the testicular region. It may be defined by the duration of symptoms, with either acute, subacute, or gradual insidious presentation. In addition to physical exam, color doppler ultrasound and urinalysis are common noninvasive laboratory tools. Buried penis is a condition in which the penis lies under a layer of integument, either from the thigh or abdomen. The condition can be congenital (megaprepuce) or acquired (obesity). The latter poses a fairly difficult management challenge.