Newborn Nursery at LPCH

Penile Torsion

photo by Janelle Aby,MD

Another clue to a possible penile torsion is the rotated appearance of the median raphe. Although the raphe frequntly zigzags a bit, it usually starts and ends at or near the midline. Here, the raphe starts in the midline at the scrotum, but then winds around the shaft to the left and ends up on the left side at tip. Though not a diagnosic finding, this appearance should at least lead the examiner to evaluate more closely.

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