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Procedures used for correction of isolated penile torsion: are they competitive or complementary?

  • Urology - Original Paper
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Abstract

Objectives

To report our experience in starting the correction of penile torsion, whatever its degree (moderate or severe) with one or more simple procedures either separately or complementary in the same session.

Patients and methods

Between 2013 and 2018, 62 patients who have significant isolated penile torsion (> 45°) were involved in this study. Those patients were subjected to either simple degloving with skin reposition, degloving with skin overcorrection and/or dartos flap procedures. Those procedures were performed either separately or complementarily. All patients were examined postoperatively after 7 days and followed up at 3, 6, and 9 months postoperatively.

Results

37 out of 62 patients had a moderate degree (45–90) of penile torsion; 21 of them were corrected using skin degloving–reattachment technique, 11 patients were corrected by degloving with skin overcorrection, and in the remaining 4 patients dartos flap technique was used for correction. In 25/62 patients who had severe degree (> 90°) of torsion; 9 patients were managed by degloving with skin overcorrection, while in 13 patients the procedure was shifted to dartos flap technique, and the remaining 3 patients, 2 of whom had 180° torsion, were managed by dartos flap with added skin overcorrection.

Conclusion

Performing degloving and skin reattachment with or without skin overcorrection procedure and dartos flap procedure either separately or complementarily in the same patient whatever the degree of torsion (moderate or severe) is associated with good results and can protect some patients from exposure to more difficult and extensive procedures as corporopexy and corporeal plication.

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Authors and Affiliations

  1. Urology Department, Faculty of Medicine, King Fahd Hospital of the University, Imam Abdulrahman Bin Faisal University, P.O. Box 40076, 31952, Alkhobar, Saudi Arabia

    Hamed M. El Darawany

  2. Tanta Insurance Hospital, Tanta, Egypt

    Mahmoud E. Al Damhogy, Mohamed S. Kandil & Mohamed E. ELkordi

  3. Urology Department, Tanta University, Tanta, Egypt

    Salah A. Nagla & Mohamed R. Taha

Authors
  1. Hamed M. El Darawany
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  2. Mahmoud E. Al Damhogy
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  3. Mohamed S. Kandil
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  4. Mohamed E. ELkordi
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  5. Salah A. Nagla
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  6. Mohamed R. Taha
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Contributions

HMEl-D and MEAl-D: protocol development, data collection data analysis, manuscript writing. MSK, MEE and SAN: data collection. MRT: manuscript editing.

Corresponding author

Correspondence to Hamed M. El Darawany.

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Conflict of interest

The authors declare that they have no conflict of interest.

Research involving human participant and/or animals

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee. Approval was obtained from the local ethics committee of the Tanta University, Egypt, No. 345/2.

Informed consent

Informed consent was signed by the parents of each patient involved in this study.

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El Darawany, H.M., Al Damhogy, M.E., Kandil, M.S. et al. Procedures used for correction of isolated penile torsion: are they competitive or complementary?. Int Urol Nephrol 51, 1313–1319 (2019). https://doi.org/10.1007/s11255-019-02163-9

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  • DOI: https://doi.org/10.1007/s11255-019-02163-9

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