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Penile Torsion


Presentation

  • Surgical management of congenital curvature without hypospadias can present a challenge to the pediatric urologist. The most widely used surgical techniques include penile degloving and dorsal plication.[ncbi.nlm.nih.gov]
  • OBJECTIVES: To present the results of repairing congenital or acquired penile torsion by means of a simple surgical procedure that does not involve resection of corporeal tissue.[ncbi.nlm.nih.gov]
  • Sixteen patients presented a moderate rotation of 45 -90 and 14 had a severe rotation with an angle greater than 90 . Chordee was present in 17 cases and distal glanular hypospadias in 15 cases. Median age at surgery was 10 months.[ncbi.nlm.nih.gov]
  • Abstract The surgical management of a patient with 180-degree penile torsion, balanitic hypospadias, and chordee is presented. Complete resolution of the torsion was effected by completely reflecting the penile skin.[ncbi.nlm.nih.gov]
  • ABSTRACT In the present case report, we describe a new technique for penile torsion correction that may be used in select patients. A 55-year-old male presented to our facility with a long history of erectile dysfunction.[urotoday.com]
Pulmonary Valve Stenosis
  • Valve Stenosis (heart valve disorder in which outflow of blood from the right ventricle of the heart is obstructed at the level of the pulmonic valve): 12 people, 85.71% Digeorge's Syndrome (genetic disorder characterized by hypocalcaemia, immunodeficiency[ehealthme.com]
Fishing
  • Prednisone vs Dexamethasone Prednisone vs Doxycycline hyclate Prednisone vs Dramamine Prednisone vs Duexis Prednisone vs Enbrel Prednisone vs Entocort ec Prednisone vs Etodolac Prednisone vs Feldene Prednisone vs Fexofenadine hydrochloride Prednisone vs Fish[ehealthme.com]
Mitral Valve Prolapse
  • Valve Prolapse (heart's mitral valve doesn't work well): 12 people, 85.71% Fallot's Tetralogy (birth heart defect of 5 chambers): 12 people, 85.71% Enlarged Heart: 12 people, 85.71% Double Outlet Right Ventricle: 12 people, 85.71% Pulmonary Valve Stenosis[ehealthme.com]
Heart Disease
  • disease): 12 people, 85.71% Respiratory Acidosis (respiratory failure or ventilatory failure, causes the ph of blood and other bodily fluids to decrease): 12 people, 85.71% Convulsion (muscles contract and relax rapidly and repeatedly, resulting in an[ehealthme.com]
Convulsions
  • […] disorder characterized by hypocalcaemia, immunodeficiency, and congenital heart disease): 12 people, 85.71% Respiratory Acidosis (respiratory failure or ventilatory failure, causes the ph of blood and other bodily fluids to decrease): 12 people, 85.71% Convulsion[ehealthme.com]
Painful Erection
  • N48.3 Priapism Painful erection N48.4 Impotence of organic origin Use additional code, if desired, to identify cause.[apps.who.int]
  • erection or combined with hypospadias (ie, the first cause: upper and lower urethra patients), should be corrective surgery.[healthfrom.com]
  • erection No pain when penis is in non-erect state Pathophysiology of Peyronie's Disease fibrous plaque involving tunica albuginea Dupuytren's contracture Peyronie's Disease treatment and management - Observation; spontaneous remission occurs in about[brainscape.com]
  • The ventral curvature associated with chordee can lead to painful erections, especially with severe chordee. Impaired copulation and thus inadequate insemination is a further consequence of significant chordee.[clinicalgate.com]
Penile Pain
  • Numerous diseases, conditions and injuries may occur to the area that may lead to testicular and penile pain or discomfort.[livestrong.com]
  • In this position, the foreskin naturally retracts and edema or swelling collects in the penis, and penile pain ensues.[verywell.com]
Renal Injury
  • injuries 905 142 Surgery for renal vascular disease 911 143 Renal transplant recipient 919 144 Open donor nephrectomycadaver donor nephrectomy 933 145 Percutaneous endopyelotomy 939 146 Percutaneous endopyeloplasty 943 147 Laparoscopic renal biopsy 949[books.google.com]

Treatment

  • Complications were minor and consisted of postoperative fever and a subcutaneous hematoma in 1 patient that resolved with conservative treatment.[ncbi.nlm.nih.gov]
  • In men who don’t seek treatment, removal of the testicle is the likely outcome.[drelist.com]
  • OBJECTIVE: To report our experience in the treatment of penile torsion with a special reference to the Fisher technique. PATIENTS AND METHODS: We reviewed 30 cases of congenital penile torsion treated from 2009 to 2015 in a single center.[ncbi.nlm.nih.gov]
  • Any older and there is the risk of psychological problems resulting from the boy having some memory of his treatment. Implications regarding circumcision The corrective surgery may require donor tissue.[circlist.com]
  • Treatment is to untwist the spermatic cord. What Is Testicular Torsion? Testicular torsion usually occurs in boys between the ages of about 12 and 18 and sometimes occurs during infancy, but it can occur at any age.[merckmanuals.com]

Etiology

  • This paper will review the current theories for the etiology of penile curvature, discuss the spectrum of severity of congenital chordee and penile torsion, and present varying surgical techniques for the correction of penile curvature in the absence[ncbi.nlm.nih.gov]
  • الصفحة 122 - Study of the incidence of hypospadias in Rochester, Minnesota, 1940-1970, and a casecontrol comparison of possible etiologic factors. Mayo. Clin. Proc. ‏ الصفحة 338 - In: Gillenwater JY, Grayhack JT, Howards SS, Duckett JW, eds.[books.google.com]
  • In 1981, Corriere [7] described Buck's fascia involvement in the etiology of congenital penile torsion. In 2006, Zhou et al [8], denied that abnormal skin attachment was a main factor in any case.[urotoday.com]
  • Introduction Etiology Prevention Complication Symptom Examine Diagnosis Treatment Basic Nursing Introduction Brief introduction of penis twist Penis twisted to the side of the penis to the side of the twist, deviated from the center line, mostly counterclockwise[healthfrom.com]
  • Although the etiology of these malformations is probably multifactorial, the existence of an inbred strain of rats that are characterized by a high incidence of ectopic scrotum suggests a genetic component to this anomaly.[emedicine.medscape.com]

Epidemiology

  • Congenital torsion was present in 11.993% of the epidemiologic study group. It was categorized as mild in 80%, moderate in 15%, and severe in 5% of the cases. Only 2.2% of the patients were bothered by the condition.[urotoday.com]
  • Congenital torsion was present in 11.993% of the epidemiologic study group, mild in 80%, moderate in 15%, and severe in 5%. Only 2.2% was bothered by the condition. CONCLUSION: Torsion of the penis is not uncommon but rarely provokes a complaint.[ncbi.nlm.nih.gov]
  • “Necrotizing Fasciitis: A Rare Disease Especially for the Healthy” from the CDC: Sorenson MD, et al. “ Fournier’s Gangrene: Population Based Epidemiology and Outcomes .” The Journal of Urology 2009.[verywell.com]
Sex distribution
Age distribution

Pathophysiology

  • In this chapter, we will only consider congenital penile torsion/curvature/chordee. 12.3 Pathophysiology The pathophysiologic mechanisms leading to penile torsion still need to be unveiled.[abdominalkey.com]
  • […] paraphimosis Usually treated by firmly squeezing glans for 5 minutes to reduce the tissue edema; then skin drawn forward over the glans Antibiotics Signs of Peyronie's Disease Curvature of penis and painful erection No pain when penis is in non-erect state Pathophysiology[brainscape.com]

Prevention

  • If you are experiencing intermittent torsion, then a surgical procedure performed electively can prevent further episodes and associated complications.[drelist.com]
  • Prevention Having testicles that can rotate in the scrotum is a trait inherited by some males. If you have this trait, the only way to prevent testicular torsion is surgery to attach both testicles to the inside of the scrotum.[drugs.com]
  • Is there anything I can do to prevent testicular torsion? Unfortunately, there isn’t anything you can do to prevent testicular torsion from happening.[youngmenshealthsite.org]
  • Prevention Prevention of penile torsion Penile torsion is a rare congenital malformations, its occurrence is due to the corpus cavernosum and urethral sponge in the development process of imbalance caused by the formation of reverse.[healthfrom.com]
  • The loss of one testicle won't prevent a man from having normal sexual relations and is unlikely to interfere with fathering children. Date reviewed: April 2017[kidshealth.org]

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