Penile torsion repair by suturing tunica albuginea to the pubic periosteum
| Autor: | Brian E. Hardy, Hui-wen Xie, Andrew H. Hwang, Li Zhou, Hua Mei |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Male
Torsion Abnormality medicine.medical_specialty Penile Diseases Dartos otorhinolaryngologic diseases Humans Medicine Child Retrospective Studies Periosteum Degloving business.industry Suture Techniques Torsion (mechanics) General Medicine musculoskeletal system medicine.disease Urogenital Surgical Procedures Surgery body regions Treatment Outcome medicine.anatomical_structure Penile Chordee Hypospadias Child Preschool biological sciences Pediatrics Perinatology and Child Health medicine.symptom business Chordee Penis |
| Zdroj: | Journal of Pediatric Surgery. 41:e7-e9 |
| ISSN: | 0022-3468 |
| Popis: | Purpose The aim of the study was to evaluate the effectiveness of a new technique to repair penile torsion in children. Methods Eighteen boys with penile torsion were evaluated in our department from 1989 to 2003. Eleven had associated hypospadias, 4 had chordee without hypospadias, and 3 had torsion only. The direction of rotation was counterclockwise in 16 cases and clockwise in 2 cases. Torsion was repaired in 6 patients by degloving the penis and reattaching the dartos and the skin (comparative group). In 11 patients (1 with prior repair), the torsion was corrected by suturing the lateral edge of the corpus cavernosum to the pubic periosteum (study group). Two patients were not treated. Result Follow-up ranges from 6 months to 7 years. All of the 11 cases in the study group had satisfactory correction of the penile torsion. All of the urethroplasties for hypospadias were successful. In the comparative group, none of 6 patients had satisfactory correction of the rotation. Conclusion The technique of degloving the penis and reattaching the skin cannot reliably correct penile torsion in our experience. Lateral suturing of tunica albuginea to the pubic periosteum to repair penile torsion appears to be a better technique. |
| Databáze: | OpenAIRE |
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