PENILE INVAGINATION COMPLICATED BY HERNIA THROUGH THE SCROTUM - CASE REPORT

It is uncommon to find trauma to the flaccid penis in medical practice. We report a case of penile invagination complicated by incarceration of the herniated penis through a defect in the scrotum following manipulation of his flaccid penis. A 7-year old boy presented with his penis herniated and trapped in a defect in his scrotum following penile manipulation of three days duration. His testicles were intact and all his system was normal; there was no feature of psychiatric disorder in the patient, and none in his family. He was resuscitated and appropriate antibiotics given. Under general anesthesia, the hernia was reduced and circumcision performed. He made uneventful recovery and there were no complaints during follow-up. Conclusion: Penile invagination is an uncommon condition which requires urgent surgical intervention to avoid complications, hence the need for this case report in order to highlight the imperative for emergency intervention.