Torsion of the penis in adults: prevalence and surgical correction

The Journal of Sexual Medicine
Osama Shaeer

Abstract

Torsion of the penis is a condition where the penis rotates around its longitudinal axis, whether congenital or acquired. Extreme degrees may provoke a cosmetic complaint. We describe surgical correction of congenital torsion of the penis in adults, and its prevalence among a special patient group. Success and ease of surgical repair. Sixteen cases with congenital torsion were operated upon, by counter-rotation, using a dartos flap in eight cases, and skin realignment in the other eight. The prevalence of congenital torsion was examined in 12,307 patients attending two andrology clinics. Full correction was achieved in all cases. Skin realignment was easier and faster than dartos flap, and was equally effective. Congenital torsion was present in 11.993% of the epidemiologic study group, mild in 80%, moderate in 15%, and severe in 5%. Only 2.2% was bothered by the condition. Torsion of the penis is not uncommon but rarely provokes a complaint. Surgical repair by degloving and skin realignment is effective and easy. Dartos flap technique may be utilized if the former is inadequate.

References

Jan 1, 1978·Urology·P PomerantzS Kogan
Aug 1, 1981·British Journal of Urology·A Azmy, H B Eckstein
Apr 13, 2004·The Journal of Urology·peter C Fisher, john M Park
Jan 18, 2006·Journal of Pediatric Surgery·Li ZhouBrian E Hardy

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Citations

May 20, 2009·The Journal of Urology·Ross Bauer, Barry A Kogan
Mar 11, 2015·World Journal of Pediatrics : WJP·Marco CastagnettiMarcello Cimador
May 11, 2019·International Urology and Nephrology·Hamed M El DarawanyMohamed R Taha

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