Macroposthia, Volcano penis, Secondary megaprepuce and Acroposthia (akroposthion “Greek”)

Extensively large redundant part of the prepuce extended beyond the glans penis, sometimes representing more than three-quarters of the length of the penis, considered as a normal variation, and the term“akroposthion” given to this redundant part (Fig. 6.1), but a whole prepuce that has been deliberately lengthened is defined as a congenitally abnormal one, and described as a secondary megaprepuce [1] (Fig. 6.2). Another rare condition has only recently received recognition as an entity in its own right is the congenital megaprepuce (CM), which characterized by extensive redundancy of the inner preputial skin over a penile shaft and glans of normal shape and size (Fig. 6.3), or it could be presented as an enormously capacious preputial sac, engulfing the whole penile shaft and upper scrotum, with urine accumulation in the preputial sac (prompting the term “preputial bladder”) (Fig. 6.4).