Penile Torsion: Symptoms & Cure


Penile torsion is a rotational abnormality of the penile shaft that can be present at birth. Due to the infrequency of reported symptoms, neither the true incidence nor the cause of the condition can be ascertained. 1–4 because there are so few reports of it in the medical literature, its frequency, and clinical significance might have been underrated. There is a possibility that the torsion is linked to additional penile malformations, such as hypospadias, epispadias, or chordae in the absence of hypospadias. 3 Patients who have been diagnosed with penile torsion have been found to have some of these disorders. This could confuse the medical professionals who treat patients with isolated penile torsion. To fix penile torsion, a variety of different procedures have been reported; however, there is no general agreement over which of these repairs is the most effective.

What is penile torsion?

Penile torsion is a congenital ailment, which means it was present at the time of birth that can affect any male newborn. It is rather common. It is more common than was previously believed, even possibly occurring in as many as one in every eighty boys who are born newly. It might be as mild as headaches or as severe as seizures. It is most likely to be found in a penis that has not been circumcised. Before consulting with a pediatric urologist about the child’s condition, circumcision should not be performed.

What are the reasons for penile twisting?

When the skin and connective tissue of the penis do not develop correctly while the kid is still in the womb, the infant may be born with a condition known as penile torsion. No one factor has been identified as the cause of penile torsion or any of the other congenital penile disorders. On the other hand, an excessive amount of female hormones has been discovered to be associated with the condition.

What signs and symptoms are associated with penile torsion?

In most cases, there are no symptoms associated with penile torsion, particularly if the penis is rotated less than ninety degrees. The majority of parents take their concerns about their infant’s penis to the pediatrician out of worry that their child may experience difficulties with the reproduction or that the appearance of his penis may one day be a source of embarrassment for him. There is no evidence to suggest that penile torsion has any effect on a man’s ability to father children.

How is the condition known as penile torsion diagnosed?

A physical examination is usually all that is required to identify penile torsion, and it can be performed by your pediatrician or urologist.

What kind of treatment is there for penile torsion?

In most cases, therapy is not necessary for penile torsion, particularly if the rotation is less than ninety degrees. On the other hand, for aesthetic reasons, many of the parents of boys who have mild torsion may prefer their kids to get therapy. Surgery, performed while the patient is under general anesthesia, is the treatment of choice for penile torsion. Between the ages of 6 months and 18 months is the typical time frame for this procedure. The use of anesthetic poses a larger threat to infants who have not yet reached the age of six months. Your kid may have one of several different types of surgical procedures, depending on the presence of any additional diseases that also require treatment from the specialist. Your son’s physician will give you advice on the treatment that is most effective for him. The most common type of surgical treatment is referred to as “degloving,” and it involves rearranging the penile skin in such a way as to reduce the appearance of penile torsion. This procedure is performed on the penis.

The end of the median raphe, the tip of the preputial, and the base of the penis were chosen to serve as the index points. To exclude any possibility of bias while measuring the torsion, the measurements were taken without first retracting the foreskin and before identifying the urethral meatus. Babies who were diagnosed with penile torsions were categorized according to the angle of torsion as follows: simple torsion (less than 45 degrees), mild torsion (between 45 and 90 degrees), and severe torsion (more than 90 degrees). The etiology of the disease was explained to each parent. The newborns who are brought into our institution to be circumcised have their circumcision completed using this straightforward procedure. Before any of the procedures could begin, the parents had to sign the informed consent paperwork. It was recommended that babies with higher degrees of rotation undergo surgical correction after the age of six months while under general anesthesia. After performing a sub-coronal mucosal circumferential incision and degloving the penile skin, we performed the flap technique by dissecting a dartos flap from the surface under the dorsal penile skin. This allowed us to do the flap technique. The flap was then rotated around the side of the penis that experiences counter torsion and absorbable sutures were used to attach it to the ventral aspect of the shaft while there was a slight amount of strain. All patients were seen after 7 days. The parents were asked about the cosmetic appearance of the penis to gauge their level of contentment with the results of the surgery, and they were urged to bring their children in for a follow-up appointment. The parents were contacted by phone. When treating patients who have hypospadias, it is critical to preserve the prepuce so that it can be used in any subsequent reconstruction. In addition, having aberrant anatomy of the urethra increases the risk of urethral damage when undergoing clamp circumcision. Before beginning the process of circumcision, it is standard procedure to seek the advice of a urologist for assistance in evaluating any anatomic penile abnormalities that may exist. For newborns who have a circumferentially normal foreskin, a full clamp circumcision can be performed without the need to be concerned about a concealed case of hypospadias. If hypospadias is present in this scenario, it is typically located on the glans of the penis; hence, clamp circumcision should not raise the risk for future difficulties if hypospadias correction is required.

How likely it is that someone may develop penile torsion?

If a boy with a minor case of penile torsion chooses not to have surgery, he should not experience any health or reproductive problems in the long run. The same is true for young men who have undergone surgical treatment to rectify their issues.

Frequently Asked Questions

What exactly is meant by the term “congenital penile torsion”?

Any male infant is at risk for developing the congenital condition known as pediatric penile torsion, which means the condition is present at birth. This disorder gives the appearance of the penis being rotated or twisted on its axis, which can be rather alarming. This twist takes place almost invariably to the left (counter-clockwise). Torsion of the penile sphincter can range from mild to severe, and it does not appear to have any impact on sexual function or fertility.

What are the indications and indications that a congenital penile torsion is present?

In most cases, a rotated or twisted penis does not create any further symptoms.

What are the underlying factors that lead to a congenital penile twist?

When the skin and connective tissue of the penis do not grow correctly in pregnancy, a condition known as penile torsion can result.

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