Correction of penile torsion by mobilization of urethral plate and urethra

Journal of Pediatric Urology
Amilal BhatGajendra Saxena

Abstract

To assess the feasibility of correction of torsion by mobilization of the urethral plate with the corpus spongiosum and the proximal urethra. Of 27 cases of congenital penile torsion, 18 had hypospadias, seven were chordee without hypospadias, and two were isolated penile torsion. Age of patients varied from 2 to 26 years (mean 6 years, 8 months). Correction of torsion was performed: (1) penile skin de-gloving; (2) mobilization of the urethral plate with the corpus spongiosum up to the corona; (3) mobilization of the proximal urethra up to the perineum; and (4) mobilization of the hypoplastic urethra/urethral plate into the glans. Tubularized incised plate urethroplasty with spongioplasty was done in cases of hypospadias, as compared to spongioplasty alone in cases of chordee without hypospadias. Degree of torsion varied from 45 to 180 degrees (mean 68.70); 74% of the patients had left and 26% had right penile torsion. Correction of torsion was possible by penile de-gloving (4%), mobilization of urethral plate and spongiosum (26%), mobilization of proximal urethra (22%), and mobilization of urethral plate/hypoplastic urethra with spongiosum into glans (48%). Extended urethral mobilization corrected penile torsion in almost all ...Continue Reading

References

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Citations

Mar 11, 2015·World Journal of Pediatrics : WJP·Marco CastagnettiMarcello Cimador
Jul 12, 2014·Journal of Pediatric Urology·Akram Mohammed Elbatarny, Khalid Ahmed Ismail
May 11, 2019·International Urology and Nephrology·Hamed M El DarawanyMohamed R Taha

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