Macroposthia

Abstract

Redundant long prepuce parse is not a disease by itself and may be considered as a normal variation of penile development, this condition may be confused with another rare congenital anomaly called congenital megaprepuce; which is characterized by extensive redundancy of the inner preputial skin over a normal penile shaft and glans, and presented as an enormously capacious preputial sac, engulfing the whole penis or upper scrotum, with urine accumulation, prompting the term “preputial bladder”. Patients suffering from redundant prepuce often elected as an indiction for male circumcision in many countries; as difficulty in foreskin retraction and phimosis associating long prepuce are considered by some as a potential risk factors for penile carcinoma that may be related to the anatomically longer length of the foreskin. A wide range of confusion exist among authors between normal long prepuce and patients with akroposthia from one side, and between congenital megaprepuce and buried or concealed penis on the other side. We will discuss the two conditions separately; the congenitally variant long prepuce “akroposthia” and the rare congenital megaprepuce.