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Scrotal hypoplasia, disc like protrusions on penis - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Men's Health
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3393 Questions
User :   My fiance has no scrotum sack, his penis is unusually small and even when he has an erection it is not like a normal hard on. He has two slight disc like protrusions just under his penis jutting out of his pelvic bone. These two discs are very hard. But there is no scrotum sack. I am boggled and need to understand what condition is this?
Doctor :   Hi,
User :   Hello
User :   I am not sure if you have read my query above but I just have some concern about my fiance's health.
Doctor :   Ok, i have gone hrough
Doctor :   Since hwne r these problems prevailing ?
Doctor :   when *
User :   I do not know his health history and was not sure how to ask until I understood what to think of it.
Doctor :   There are many cases for erection failure , but the actual cause of it can be mad on detailed examination
User :   But more than erection failure, what kind of condition is it when a male has no scrotum sack and has such hard protrusions? Is it Crytorchidism where the testicles have not descended?
User :   Crptorchidism
User :   Cryptorchidism
Doctor :   yes, it could be crptorchidism or scrotal hypoplasia
User :   what is scrotal hypoplasia
Doctor :   its a condition where the testis will be present but will be an abdominal structure and the scrotum be absent
Doctor :   also associated with this there may be renal and orthopedic problems
User :   Does this mean his chances of testicular cancer are very high? And do the hardness of the discs mean that there is a tumor or something to be worried about? He is a runner, he runs marathon's but I did not think that that could contribute to this problem. However his mother did mention that he was born very small in size (low birth weight) even though he is 6ft 1in.
User :   that made me suspect Cryptorchidism.
Doctor :   No , it does not indicate the risk of cancer , but the fertility cannot be assured
User :   What about the hardness of the discs? Is that normal?
Doctor :   i think you are mentioning about the pubic bone itself
User :   there are two slight protusions on the pubic bone that feel like half discs and they are very hard.
Doctor :   How big are these protrusions on an average?
User :   I would say half inch to an almost an inch
User :   an inch actually
Doctor :   i would think its nothing but the extension of the pubic bone like pubic tubercle , i would consider better idea would been established if examined physically
Doctor :   but i don't consider it to be anything serious
User :   That I agree with. But then how serious is it that he has no scrotum?
Doctor :   well that has to be looked into in detail , if either be it cryptorchidism or scrotal hypoplasia the testis would have remained in the abdomen ,
Doctor :   the temperature in the abdomen would be unfavorably high , which may affect the sperm production and result in infertility
User :   But for Cryptorchidism, I found that research shows increased risk for testicular cancer. So that had me worried. Is that also the case if it is scrotal hypoplasia? Are chances for testicular cancer or tumor high for such individuals whose testicals are embeded in the abdomen?
Doctor :   yes, but this happens in hypoactive testis ,
User :   What is that?
Doctor :   i mean the ones which do not elobrate testosterone , and present with absent secondary sexual characteristics
User :   what are secondary sexual characteristics?
Doctor :   its the facial hair , pubic and axillary hairs , the masculine features ( being muscular , height ), the libido , etc
Doctor :   and this could be confirmed by getting a blood testosterone levels done
User :   Well physically he is normal and so is his libido but as his partner I was just wondering if there is any reason for me to worry for his future health. It is a sensitive issue to bring up to a person so I needed to make sure if there is reason to worry.
Doctor :   well , there would be no need to worry about an impending risk of any serious outcome
Doctor :   but its always better to correct the problem earlier
User :   I agree. However I did notice that his penis is very small and limp even when he has a hard on, is that another reason to worry?
Doctor :   no , this could be a developmental anamoly along with the problem in the testis
User :   Will that impact or aggravate into erectile dysfunction as his age progresses?
Doctor :   yes, there are chances
User :   What are the common procedures for such medical conditions?
Doctor :   Orchipexy is the lone surgical procedure
User :   What does it involve
Doctor :   its a procedure where the abdominal testicles are removed and brought down outside in to the sac present or a sac like structure is created for the same
Doctor :   also some times may need testosterone injections based on the testosterone levels.
User :   Is there anything as a doctor you would tell me as such a person's partner that would be essential to know about such conditions
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