Z-Plasty, the remedy
for a peno-scrotal web


What is a peno-scrotal web and how does it form?

The nature of the problem is well illustrated in the middle photo below. In contrast to a normal adult male, this patient has a web of skin stretched between his scrotum and the ventral aspect (the underneath) of his penis, in this instance reaching as far as the circumcision scar and apparently forming a continuous structure with the frenulum.

The abnormality can be congenital (a birth defect) or a result of over-aggressive circumcision in infancy. For details of the paediatric implications when the condition is discovered in a newborn child, please see CIRCLIST’s page on contra-indications here.

z-plasty-1 (52873 bytes) z-plasty-2 (39221 bytes) z-plasty-3 (35881 bytes)
All three images above are copyright ©   CIRCLIST, are part of our Photo Archive and show the same patient.


The remedy is a surgical intervention called z-plasty. The immediate post-operative result is shown above right. In essence the procedure involves surgical reconstruction of the raphe but adjustment of dartos tissue may also be required.


The following resources were used in the preparation of this web page:
Globe (2229 bytes) Circlist Website logo (6480 bytes) Circlist Group logo (8847 bytes) CIRCLIST's own photo-archive.
USA flag Penisdoctor logo     Website of Dr. Harold M. Reed.

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