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 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]

No other atlas presents pediatric urologic surgery with such care, attention to detail, and respect for the subject. [books.google.com]

• Surgical Procedure

  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]

  The surgical procedure includes degloving the penis, Bucks fascia resection, some incision in the base of the penis, plication of tunica, and dorsal dartos flap. [dovepress.com]

  If you are experiencing intermittent torsion, then a surgical procedure performed electively can prevent further episodes and associated complications. [drelist.com]

  Key words: penis; sutures; male urologic surgical procedure INTRODUCTION Penile torsion in childhood is usually in the counterclockwise direction, if the physician is facing the patient. [scielo.br]

• Falling

  It's billable, but may not fall under the patient's plan as an acceptable diagnosis. [aapc.com]

  […] child was given Redness, increased swelling, or tenderness in the penis Bleeding from the penis Signs of infection, including fever and chills Persistent nausea or vomiting Inability to eat or drink Difficulty urinating or inability to urinate Stitches fall [winchesterhospital.org]

  Do not be concerned if this bandage falls off before, during or immediately after your arrival home. It does not need to be replaced. [pedsurology.com]

  Keep the dressing clean and replace it right away if it falls off for the first week or so. Use prescription ointments to prevent irritation or rashes. Some swelling is normal. [healthline.com]

  The suture line may be visible for quite some time after the sutures dissolve and fall out. These markings usually fade with time as the child grows. [deltamedix.com]

• Weakness

  MayoClinic.com describes an inguinal hernia as the protrusion of the intestine through a weak area of the lower abdomen. The condition is not necessarily serious, but the complications can be life threatening. [livestrong.com]

  25 % Top conditions involved for these people *: Depression: 13 people, 92.86% Ulcerative Colitis (inflammatory bowel disease (ibd). it causes swelling, ulcerations, and loss of function of the large intestine): 1 person, 7.14% Osteoporosis (bones weak [ehealthme.com]

  […] irritative - detrusor muscle hypertrophy and hyperplasia irritative symptoms of BPH - Increased frequency - Urgency and difficulty postponing urination - Discomfort when urinating - Nocturia obstructive symptoms of BPH Hesitation Straining when urinating Weak [brainscape.com]

  Treating inguinal hernias You may be referred to a surgeon to discuss the option of having an operation to push the bulge back into place and strengthen the weakness in the abdominal wall. [nhsinform.scot]

  A higher incidence of hypospadias has been noted in winter conceptions. 32 A weak association between hypospadias and the maternal ingestion of progestin-like agents has also been noted. 33, 34 No association has been found between hypospadias and oral [clinicalgate.com]

• Asymptomatic

  In postoperative period, patient remained asymptomatic. Cursor on image to zoom/Click text to open image Figure 2: Lateral view of dorsal frenulum Cursor on image to zoom/Click text to open image Figure 4: Double layered dorsal frenulum. [ijcasereportsandimages.com]

  As patients are usually asymptomatic and have few complaints, the incidence of penile torsion might be underestimated [ 11 ]. Varying studies report incidence ranging from 1.7 % of males, to 27 % [ 12, 13 ]. [abdominalkey.com]

  Hypospadias(共著), 57/,1151-1155, 2001年 Transurethral Thermotherapy for Benign Prostatic Hypertrophy : Results of Therapy with Thermex (]G0002[)(共著), 14/,124-126, 2001年 Should Extracorporeal Shock Wave Lithotripsy be the First Choice in the Treatment of Asymptomatic [nrd.nagoya-cu.ac.jp]

  Incidence of asymptomatic meatal stenosis in children following neonatal circumcision. J Pediatr Urol. 2011;7:526-8. 132. Allen JS, Summers JL. Meatal stenosis in children. J Urol. 1974; 112: 526-7. 133. Gracely-Kilgore KA. [doctorsopposingcircumcision.org]

• Abdominal Pain

  Signs and symptoms of testicular torsion include: sudden, severe pain in the scrotum swelling of the scrotum, redness, tenderness or hardening of the scrotum nausea and vomiting abdominal pain on the same side as the torsion the testicle being in a strange [healthdirect.gov.au]

  Symptoms of Testicular Torsion Symptoms of testicular torsion include swelling the scrotum and sudden severe pain in the scrotum and groin. Many men experience abdominal pain, nausea, and vomiting. [drelist.com]

  See also Penis & foreskin Acute abdominal pain Key Points Testicular torsion is an emergency. [rch.org.au]

  Thus the scrotum may swell up and also become quite painful. Symptoms of testicular torsion 1. Significant swelling of the scrotum 2. Mild to extreme pain in the scrotum. 3. Abdominal pain, especially in the lower abdomen 4. [lybrate.com]

• Irritability

  Causes of Rashes on Penis or Scrotum Most rashes on the penis or scrotum are caused by skin irritants. Hand-to-penis contact is normal when passing urine. Therefore, the rash is most likely from an irritant that was on the hands. [seattlechildrens.org]

  […] of penis Large penis Lesion of penis Lesion penis Lichen planus of glans penis Lichen planus of penis Mass of penis Mass of prepuce Nocturnal erection of penis Pain in penis Partial flaccidity of penis Pearly penile papules Penile irritation Penile mucous [icd9data.com]

  […] cancer most commonly occurs in peripheral zone of prostate on rectal/posterior side *may miss BPH 2 categories of BPH symptoms and how they are caused obstructive - mechanical (BOO) or dynamic (adrenergic tone) irritative - detrusor muscle hypertrophy [brainscape.com]

  Epididymitis is caused by infection, irritation or injury of the epididymitis. In younger men, epididymitis usually occurs in association with a sexually transmitted infection. [healthymale.org.au]

  Fecal transplant is used to treat gut infections and is now being studied as a treatment for obesity, urinary tract infections, irritable bowel syndrome and more. [nytimes.com]

• Chordee

  Ventral chordee ranged from 45° to 100°, with a median of 50°. A ratio of 1:9.6 was found for chordee without hypospadias compared to the total hypospadias cases, with an incidence of 9.5%. [ncbi.nlm.nih.gov]

  Treatment of chordee Once the decision is made to surgically correct chordee, physicians evaluate the extent of chordee via an artificial erection while the child is asleep. [denverurology.com]

  We would nowadays define it as chordee. Penile torsion was first described in 1973 by Horton and Devine [ 6 ]. They used also the word chordee. [abdominalkey.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]

  Penis disorders include Erectile dysfunction - inability to get or keep an erection Priapism - a painful erection that does not go away Peyronie's disease - bending of the penis during an erection due to a hard lump called a plaque Balanitis - inflammation [icdlist.com]

  painful erections, recurrent infections of the foreskin (balanoposthitis), paraphimosis (foreskin stuck in the retracted position behind the head of the penis), or urinary tract infections may require further treatment. [urology.ucsf.edu]

  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]

• Microphallus

  Hidden or Concealed Penis Causes & Treatment Microphallus (micropenis): normally formed, but abnormally short penis Penile torsion : counterclockwise left sided penile twisting Lateral penile curvature: one sided hypertrophy of fibrous tissue, penile [drelist.com]

  Microphallus The term microphallus, or micropenis, is applicable only to a normally formed yet abnormally short penis. [emedicine.medscape.com]

  […] larger mucinous cell Cyst lining cells are CK7+ Micropenis Penis small but normal ratio of shaft length to circumference Defined as stretched length < 2.5 standard deviations below mean for age (Wikipedia: Micropenis [Accessed 28 March 2018], eMedicine: Microphallus [pathologyoutlines.com]

  Microphallus Microphallus or micropenis is anatomically normally formed penis. [ijps.org]

• Penile Pain

  […] or penile sores; genital herpes, which involves blistering of the penis; and human papillomavirus, which manifests in penile lesions that are painful with intercourse. [livestrong.com]

  History and exam Key diagnostic factors presence of risk factors newborn and toddler age abnormal location of urethra incomplete prepuce penile curvature and/or torsion recent genital examination or procedure history of short or small penis penile pain [bestpractice.bmj.com]

  This procedure is very painful but necessary for proper treatment. Because this reduction is pretty painful, pain medications, penile blocks, and even sedation may be necessary. [verywell.com]

Management and Treatment How is penile torsion treated? Penile torsion usually does not require treatment, especially if the rotation is less than 90 degrees. [my.clevelandclinic.org]

[…] with my treatment from New York Urology! [newyorkurologyspecialists.com]

From there, a urologist will be consulted to assist in the treatment of the torsion. Treatment Because testicular torsion involves the elimination of the only blood supply to the testicles, treatment must occur promptly. [verywellhealth.com]

In each case, a brief assessment of the presenting sign/symptom and differential diagnosis is followed by discussion of occurrence, clinical presentation and significance, diagnostic work-up, treatment, and prognosis. [books.google.de]

Outlook (Prognosis) The testicle may continue to function properly if the condition is found early and treated right away. The chances that the testicle will need to be removed increase if blood flow is reduced for more than 6 hours. [mountsinai.org]

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]

Many authors have referred to the bending of the penis as curvature, while rotation has been often used when there was a torsion on the penile axis.5 Moreover, few published reports have recognized a potential hereditary trace in penile rotation etiology [dovepress.com]

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]

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]

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. [pubmed.ncbi.nlm.nih.gov]

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]

“Necrotizing Fasciitis: A Rare Disease Especially for the Healthy” from the CDC: http://www.cdc.gov/features/necrotizingfasciitis/ Sorenson MD, et al. “ Fournier’s Gangrene: Population Based Epidemiology and Outcomes .” The Journal of Urology 2009. [verywell.com]

The Task Force included AAP representatives from specialty areas, including anesthesiology/pain management, bioethics, child health care financing, epidemiology, fetus and newborn medicine, infectious diseases (including pediatric AIDS), and urology. [pediatrics.aappublications.org]

Circumcisions for medical reasons in the Brazilian public health system: epidemiology and trends. Einstein (Sao Paulo). 2012;10(3):342-6. 176.Earp BD, Allareddy V, Allareddy V, Rotta AT. [doctorsopposingcircumcision.org]

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]

Pathophysiology of Peyronie's disease. Int J Impot Res. 2002 Oct. 14(5):406-10. [QxMD MEDLINE Link]. Carrier S, Lue TF. For peyronie’s disease. Act conservatively. Contemp Urol. 1994. 9:54-65. Pryor JP. The management of Peyronie’s disease. [emedicine.medscape.com]

Clinical presentation and pathophysiology of meatal stenosis following circumcision. Br J Urol. 1995;75(1):91-3. 125. Van Howe RS. Variability in penile appearance and penile findings: a prospective study. Br J Urol. 1997;80:776-82. 126. [doctorsopposingcircumcision.org]

During surgery, the doctor will: make a cut in the scrotum untwist the spermatic cord if necessary stitch one or both testicles to the inside of the scrotum to prevent rotation Suturing both testicles will prevent torsion from occurring on the other side [medicalnewstoday.com]

During surgery, whether done immediately or later, urologists usually secure both testes to prevent future episodes of torsion. NOTE: This is the Consumer Version. [merckmanuals.com]

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]