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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
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
The Fisher Technique for Correction of Penile Torsion in Children: Who Are the Candidates?
Marret JB, Ravasse P, Raffoul L, Rod J
Urology 2017 Jun;104:179-182. Epub 2017 Mar 2 doi: 10.1016/j.urology.2017.02.038. PMID: 28263821
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
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
Magnetic resonance imaging and ultrasound evaluation of penile and testicular masses.
Andipa E, Liberopoulos K, Asvestis C
World J Urol 2004 Nov;22(5):382-91. Epub 2004 Aug 6 doi: 10.1007/s00345-004-0425-9. PMID: 15300391
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
CT and MRI of the male genital tract: radiologic-pathologic correlation.
Kubik-Huch RA, Hailemariam S, Hamm B
Eur Radiol 1999;9(1):16-28. doi: 10.1007/s003300050621. PMID: 9933374

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
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
The penis.
Belman AB
Urol Clin North Am 1978 Feb;5(1):17-29. PMID: 347660

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
Degloving and realignment--simple repair of isolated penile torsion.
Bar-Yosef Y, Binyamini J, Matzkin H, Ben-Chaim J
Urology 2007 Feb;69(2):369-71. doi: 10.1016/j.urology.2007.01.014. PMID: 17320680
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
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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