Isolated penile torsion in newborns

Authors

  • Egemen Eroglu Koc University, School of Medicine, Department of Pediatric Surgery
  • Gokhan Gundogdu Koc University, School of Medicine, Department of Pediatric Surgery

DOI:

https://doi.org/10.5489/cuaj.2833

Keywords:

congenital, penis, torsion

Abstract

Introduction: We reported on the incidence of isolated penile torsion among our healthy children and our approach to this anomaly.

Methods: Between 2011 and 2014, newborn babies with penile torsion were classified according to the angle of torsion. Surgical correction (penile degloving and reattachment for moderate cases and dorsal dartos flap technique in case of resistance) after 6 months was advised to the babies with rotations more than 45°.

Results: Among 1000 newborn babies, 200 isolated penile torsions were found, and among these, 43 had torsions more than 45°, and 4 of these had angles greater than 90°. The mean angle of the rotations was found 30.45° (median: 20°). In total, 8 children with 60° torsions were previously circumcised. Surgery was performed on 19 patients, with a mean patient age of 12 ± 2 months. Of these 19, 13 babies were corrected with degloving and reattachment. This technique was not enough on the remaining 6 patients; therefore, derotational dorsal dartos flap was added to correct the torsion. After a mean of 15.6 ± 9.8 months, residual penile rotation, less than 15°, was found only in 2 children.

Conclusion: The incidence of isolated penile torsion is 20% in newborns. However, rotation more than 45° angles are seen in 4.3% of male babies. Correction is not necessary in mild degrees, and penile degloving with reattachment is enough in most cases. If the initial correction is insufficient, dorsal dartos flap rotation is easy and effective. Prior circumcision neither disturbs the operative procedure nor affects the outcomes.

Downloads

Download data is not yet available.

Author Biographies

Egemen Eroglu, Koc University, School of Medicine, Department of Pediatric Surgery

Department of Pediatric Surgery

Gokhan Gundogdu, Koc University, School of Medicine, Department of Pediatric Surgery

Department of Pediatric Surgery

Downloads

Published

2015-11-04

How to Cite

Eroglu, E., & Gundogdu, G. (2015). Isolated penile torsion in newborns. Canadian Urological Association Journal, 9(11-12), E805–7. https://doi.org/10.5489/cuaj.2833

Issue

Section

Original Research

Similar Articles

You may also start an advanced similarity search for this article.