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Torsion of the penis

MedGen UID:
853273
•Concept ID:
C1407019
•
Anatomical Abnormality; Finding
HPO: HP:0030263

Definition

Rotated position of the glans, with or without the penile shaft, of 30 degrees or more. [from HPO]

Professional guidelines

PubMed

Bilateral anorchia in infancy: occurence of micropenis and the effect of testosterone treatment.
Zenaty D, Dijoud F, Morel Y, Cabrol S, Mouriquand P, Nicolino M, Bouvatier C, Pinto G, Lecointre C, Pienkowski C, Soskin S, Bost M, Bertrand AM, El-Ghoneimi A, Nihoul-Fekete C, Léger J
J Pediatr 2006 Nov;149(5):687-91. doi: 10.1016/j.jpeds.2006.07.044. PMID: 17095345

Recent clinical studies

Etiology

Non-Infectious Reservoir-Related Complications During and After Penile Prosthesis Placement.
Clavell-Hernández J, Shah A, Wang R
Sex Med Rev 2019 Jul;7(3):521-529. Epub 2019 Feb 18 doi: 10.1016/j.sxmr.2018.12.005. PMID: 30786958
Modified double face onlay island preputial skin flap with augmented glanuloplasty for hypospadias repair.
El dahshoury ZM, Gamal W, Hammady A, Hussein M, Salem E
J Pediatr Urol 2013 Dec;9(6 Pt A):745-9. Epub 2013 Apr 15 doi: 10.1016/j.jpurol.2013.03.005. PMID: 23597631
Torsion of the penis in adults: prevalence and surgical correction.
Shaeer O
J Sex Med 2008 Mar;5(3):735-9. Epub 2008 Jan 7 doi: 10.1111/j.1743-6109.2007.00709.x. PMID: 18194191
Penile and testicular disorders.
Wren T
Nurs Clin North Am 2004 Jun;39(2):319-26. doi: 10.1016/j.cnur.2004.01.004. PMID: 15159182
Morphology of hypospadias.
Avellán L
Scand J Plast Reconstr Surg 1980;14(3):239-47. doi: 10.3109/02844318009106717. PMID: 7209410

Diagnosis

Urologic Emergencies.
Manjunath AS, Hofer MD
Med Clin North Am 2018 Mar;102(2):373-385. Epub 2017 Dec 20 doi: 10.1016/j.mcna.2017.10.013. PMID: 29406065
Benign penile skin anomalies in children: a primer for pediatricians.
Castagnetti M, Leonard M, Guerra L, Esposito C, Cimador M
World J Pediatr 2015 Nov;11(4):316-23. Epub 2015 Mar 9 doi: 10.1007/s12519-015-0015-5. PMID: 25754752
Torsion of the penis in adults: prevalence and surgical correction.
Shaeer O
J Sex Med 2008 Mar;5(3):735-9. Epub 2008 Jan 7 doi: 10.1111/j.1743-6109.2007.00709.x. PMID: 18194191
Penile and testicular disorders.
Wren T
Nurs Clin North Am 2004 Jun;39(2):319-26. doi: 10.1016/j.cnur.2004.01.004. PMID: 15159182
Urologic emergencies.
Rosenstein D, McAninch JW
Med Clin North Am 2004 Mar;88(2):495-518. doi: 10.1016/S0025-7125(03)00190-1. PMID: 15049590

Therapy

Efficacy of fibrin sealant as waterproof cover in improving outcome in hypospadias surgery.
Shenoy NS, Tiwari C, Gandhi S, Kumbhar V, Joseph V, Basu S, Makan A, Shah H
Afr J Paediatr Surg 2021 Oct-Dec;18(4):215-218. doi: 10.4103/ajps.AJPS_132_20. PMID: 34341306Free PMC Article
Non-Infectious Reservoir-Related Complications During and After Penile Prosthesis Placement.
Clavell-Hernández J, Shah A, Wang R
Sex Med Rev 2019 Jul;7(3):521-529. Epub 2019 Feb 18 doi: 10.1016/j.sxmr.2018.12.005. PMID: 30786958
Dorsal onlay buccal mucosa versus penile skin flap urethroplasty for anterior urethral strictures: results from a randomized prospective trial.
Dubey D, Vijjan V, Kapoor R, Srivastava A, Mandhani A, Kumar A, Ansari MS
J Urol 2007 Dec;178(6):2466-9. Epub 2007 Oct 15 doi: 10.1016/j.juro.2007.08.010. PMID: 17937943
Penile and testicular disorders.
Wren T
Nurs Clin North Am 2004 Jun;39(2):319-26. doi: 10.1016/j.cnur.2004.01.004. PMID: 15159182
Reconstruction of resistant strictures of the fossa navicularis and meatus.
Armenakas NA, Morey AF, McAninch JW
J Urol 1998 Aug;160(2):359-63. PMID: 9679877

Prognosis

The incidence of isolated penile torsion in North India: A study of 5,018 male neonates.
Bhat A, Bhat M, Kumar V, Goyal S, Bhat A, Patni M
J Pediatr Urol 2017 Oct;13(5):491.e1-491.e6. Epub 2017 Mar 1 doi: 10.1016/j.jpurol.2016.12.031. PMID: 28344020
Modified double face onlay island preputial skin flap with augmented glanuloplasty for hypospadias repair.
El dahshoury ZM, Gamal W, Hammady A, Hussein M, Salem E
J Pediatr Urol 2013 Dec;9(6 Pt A):745-9. Epub 2013 Apr 15 doi: 10.1016/j.jpurol.2013.03.005. PMID: 23597631
Dorsal onlay buccal mucosa versus penile skin flap urethroplasty for anterior urethral strictures: results from a randomized prospective trial.
Dubey D, Vijjan V, Kapoor R, Srivastava A, Mandhani A, Kumar A, Ansari MS
J Urol 2007 Dec;178(6):2466-9. Epub 2007 Oct 15 doi: 10.1016/j.juro.2007.08.010. PMID: 17937943
Penile and testicular disorders.
Wren T
Nurs Clin North Am 2004 Jun;39(2):319-26. doi: 10.1016/j.cnur.2004.01.004. PMID: 15159182
Morphology of hypospadias.
Avellán L
Scand J Plast Reconstr Surg 1980;14(3):239-47. doi: 10.3109/02844318009106717. PMID: 7209410

Clinical prediction guides

Correction of penile torsion and chordee by mobilization of urethra with spongiosum in chordee without hypospadias.
Bhat A, Sabharwal K, Bhat M, Singla M, Kumar V, Upadhyay R
J Pediatr Urol 2014 Dec;10(6):1238-43. Epub 2014 Jul 22 doi: 10.1016/j.jpurol.2014.06.016. PMID: 25130900
Abnormalities of penile curvature: chordee and penile torsion.
Montag S, Palmer LS
ScientificWorldJournal 2011 Jul 28;11:1470-8. doi: 10.1100/tsw.2011.136. PMID: 21805016Free PMC Article
Reconstruction of resistant strictures of the fossa navicularis and meatus.
Armenakas NA, Morey AF, McAninch JW
J Urol 1998 Aug;160(2):359-63. PMID: 9679877
Characteristics of the male genitalia in the newborn: penis.
Ben-Ari J, Merlob P, Mimouni F, Reisner SH
J Urol 1985 Sep;134(3):521-2. doi: 10.1016/s0022-5347(17)47272-7. PMID: 4032553
Morphology of hypospadias.
Avellán L
Scand J Plast Reconstr Surg 1980;14(3):239-47. doi: 10.3109/02844318009106717. PMID: 7209410

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