ORIGINAL RESEARCH—SURGERY: Torsion of the Penis in Adults: Prevalence and Surgical Correction


Osama Shaeer, MD, Department of Andrology, Faculty of Medicine, Cairo University, 21 Gaber Ibn Hayan Street-Dokki, Cairo, 12311 Egypt. Tel: 0020233359047; Fax: 002027605181; E-mail: dr-osama@link.net; Website: http://www.malegenitalsurgery.com


Introduction.  Torsion of the penis is a condition where the penis rotates around its longitudinal axis, whether congenital or acquired. Extreme degrees may provoke a cosmetic complaint.

Aim.  We describe surgical correction of congenital torsion of the penis in adults, and its prevalence among a special patient group.

Main Outcome Measures.  Success and ease of surgical repair.

Methods.  Sixteen cases with congenital torsion were operated upon, by counter-rotation, using a dartos flap in eight cases, and skin realignment in the other eight. The prevalence of congenital torsion was examined in 12,307 patients attending two andrology clinics.

Results.  Full correction was achieved in all cases. Skin realignment was easier and faster than dartos flap, and was equally effective. 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. Surgical repair by degloving and skin realignment is effective and easy. Dartos flap technique may be utilized if the former is inadequate. Shaeer O. Torsion of the penis in adults: Prevalence and surgical correction. J Sex Med 2008;5:735–739.