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A Case Report of Complete Penoscrotal Transposition With Hypospadias and Imperforates Anus. an Ethical Dilemma Publisher



Mazoochi M1 ; Farajidana H2 ; Namazi H3 ; Mohammadian Khonsari N4 ; Jamshidi F5
Authors
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Authors Affiliations
  1. 1. Department of Surgery, Bahonar Hospital, Alborz University of Medical Sciences, Karaj, Iran
  2. 2. Department of Forensic Medicine and Medical Ethics, Shahid Rajai Hospital, Alborz University of Medical Sciences, Karaj, Iran
  3. 3. Department of Medical Ethics, School of Medicine AND Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran AND Department of Medical Humanities, Virtual University of Medical Sciences, Tehran, Iran
  4. 4. Alborz University of Medical Sciences, Student Research Committee, Karaj, Iran
  5. 5. Department of Forensic Medicine and Toxicology and Social Determinant of Health Research Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran

Source: Journal of Neonatal Nursing Published:2022


Abstract

The ethical aspects of decision-making regarding children are ambiguous, with many controversial statements within literature and practice. In every country, these decisions are affected by culture, local laws, and religion. Here we present a case of a complete form of Penoscrotal transposition (PST), a condition in which the scrotum is seen superior to the penis as if the scrotum's position and the penis have been reversed, which has two forms, complete and incomplete, based on the position of the penis, in a newborn with concomitant renal and ureteral abnormalities, that if left untreated, would result in the child's death; however, a proper surgical approach would be life-saving. Nonetheless, due to his father not giving his consent for the operation, the child passed away nine days after birth. As in our case, granting the authority to the non-expert parents may slowly propel the parents to choose perfect infants and deny the right of living from their other infants with specific and curable yet life-threatening conditions if they remained untreated. In children with older age, who can communicate, the principle of autonomy should be taken into account and the patient's needs should be addressed. In this case report, we cover the condition itself and the ethical aspects of this case to aid co-workers in managing complex cases, discuss the mental aspects, possible coping methods, and share our experience through this case. © 2021 Neonatal Nurses Association