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Torsion of the penis in adults: prevalence and surgical correction
1Department of Andrology, Faculty of Medicine, Cairo University, Cairo, Egypt. dr-osama@link.net
Introduction:
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.
Aim:
We describe surgical correction of congenital torsion of the penis in adults, and its prevalence among a special patient group.
Main Outcome Measures:
Success and ease of surgical repair.
Methods:
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.
Results:
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.
Conclusion:
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.
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