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Penoscrotal transposition (PST) is a rare congenital genital anomaly in which the scrotum is positioned superior and anterior to the penis. PST may present with a broad spectrum of anomalies ranging from simple shawl scrotum (doughnut scrotum) to very complex extreme transposition with craniofacial, central nervous system, cardiac, gastrointestinal, urological, and other genital (undescended testicles, hypospadias, chordee) malformations. Growth deficiency and intellectual disability may also be noticed (60% of cases).
Features include very common findings: Hypospadias, Abnormality of the ureter, Abnormality of the genital system, and Renal agenesis and others; and common findings: Shawl scrotum, Prominent occiput, Epicanthus, and Dimple chin. 20 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Kidneys and urinary system | 2 | Renal agenesis, Renal dysplasia |
Phenotype severity distribution: 15 very common features, 4 common features.
Estimated prevalence: Unknown (Unknown prevalence).
No clinical trials have been registered for penoscrotal transposition.
11 publications have been identified in PubMed for penoscrotal transposition. Research spans Case Report / Case Series (36%), Review / Meta-Analysis (27%), and Clinical Trial Publication (27%).
Research Type | Count | % of Total |
|---|---|---|
Patient case studies | 4 | 36% |
Data assembled from 4 of 12 sources · Last updated Sep 20, 2026, 6:30 AM UTC
European rare disease database
Genetic and Rare Diseases Info Center
Heart and blood vessels |
1 |
Heart muscle disease (cardiomyopathy) |
Brain and nerves | 1 | Cerebral cortical atrophy |
Muscles | 1 | Cerebral cortical atrophy |
Arms and legs | 1 | Clinodactyly of the 5th finger |
3 |
27% |
Clinical study results | 3 | 27% |
Other research | 1 | 9% |
Khoo PJ (2026). [PMID: 41631023](https://pubmed.ncbi.nlm.nih.gov/41631023/). *J Plast Reconstr Surg*. [Case Report / Case Series]
Babu R (2026). [PMID: 41864840](https://pubmed.ncbi.nlm.nih.gov/41864840/). *J Pediatr Urol*. [Clinical Trial Publication]
Corrêa RA (2026). [PMID: 41762993](https://pubmed.ncbi.nlm.nih.gov/41762993/). *J Pediatr Urol*. [Review / Meta-Analysis]
Dehghani F (2026). [PMID: 41837110](https://pubmed.ncbi.nlm.nih.gov/41837110/). *Int J Surg Case Rep*. [Other]
Hennayake S (2025). [PMID: 39693725](https://pubmed.ncbi.nlm.nih.gov/39693725/). *J Pediatr Surg*. [Clinical Trial Publication]
Maglione V (2025). [PMID: 40277451](https://pubmed.ncbi.nlm.nih.gov/40277451/). *Am J Med Genet A*. [Review / Meta-Analysis]
Nsaho NM (2025). [PMID: 41541174](https://pubmed.ncbi.nlm.nih.gov/41541174/). *Int J Surg Case Rep*. [Case Report / Case Series]
Houas Y (2025). [PMID: 40919175](https://pubmed.ncbi.nlm.nih.gov/40919175/). *Urol Case Rep*. [Case Report / Case Series]
Wu Y (2025). [PMID: 40102138](https://pubmed.ncbi.nlm.nih.gov/40102138/). *J Pediatr Urol*. [Clinical Trial Publication]
Baky Fahmy MA (2024). [PMID: 39001683](https://pubmed.ncbi.nlm.nih.gov/39001683/). *Birth Defects Res*. [Review / Meta-Analysis]