PENILE TORSION OF A TWO-YEAR-OLD BOY: A CASE REPORT
Objective: This case report presented Penile Torsion in pediatrics. Case(s) Presentation: A two-year-old boy with a chief complaint of rotated penile to the right side since birth. There were 45º in clockwise torsion, slight chordee, and uncircumcised. Patient underwent penile reconstruction surger...
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| Format: | Article |
| Language: | English |
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IKATAN AHLI UROLOGI INDONESIA
2024-01-01
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| Series: | Jurnal Urologi Indonesia |
| Subjects: | |
| Online Access: | http://juri.urologi.or.id/juri/article/view/921 |
| _version_ | 1827392585548693504 |
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| author | Fikri Alam Riza Putra Besut Daryanto Pradana Nurhadi |
| author_facet | Fikri Alam Riza Putra Besut Daryanto Pradana Nurhadi |
| author_sort | Fikri Alam Riza Putra |
| collection | DOAJ |
| description |
Objective: This case report presented Penile Torsion in pediatrics. Case(s) Presentation: A two-year-old boy with a chief complaint of rotated penile to the right side since birth. There were 45º in clockwise torsion, slight chordee, and uncircumcised. Patient underwent penile reconstruction surgery, including penile degloving, urethral mobilization, and plication. After seven days follow-up, parents were satisfied with straight penile erection and no torsion at all. After 3 months follow-up, parents reported satisfaction with the surgical outcome such as cosmetic appearance, straight erection, and normal stream urine. Discussion: Surgical techniques ranging from simple penile degloving with foreskin repositioning to more complex surgical procedure involving corporeal tissue. Surgery by using degloving of penile skin and realignment could be suitable for penile torsion <90°. For the cases of >90°, other techniques should be considered such as corporopexy procedure, rotation flap of dorsal dartos, or diagonal suturing of corporeal folds away from and parallel to the neurovascular bundle. Conclusion: Penile reconstruction surgery using penile degloving, urethral mobilization, and plication for penile torsion showed satisfaction result including cosmetic appearance, penile erection, and normal urine flow.
Keywords: Chordee, penile reconstruction, penile torsion.
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| first_indexed | 2024-03-08T17:34:04Z |
| format | Article |
| id | doaj.art-cf11a6779d624bb994112b23a5ff577a |
| institution | Directory Open Access Journal |
| issn | 0853-442X 2355-1402 |
| language | English |
| last_indexed | 2024-03-08T17:34:04Z |
| publishDate | 2024-01-01 |
| publisher | IKATAN AHLI UROLOGI INDONESIA |
| record_format | Article |
| series | Jurnal Urologi Indonesia |
| spelling | doaj.art-cf11a6779d624bb994112b23a5ff577a2024-01-02T13:24:18ZengIKATAN AHLI UROLOGI INDONESIAJurnal Urologi Indonesia0853-442X2355-14022024-01-0131110.32421/juri.v31i1.921PENILE TORSION OF A TWO-YEAR-OLD BOY: A CASE REPORTFikri Alam Riza Putra0Besut Daryanto1Pradana Nurhadi2Department of Urology, Faculty of Medicine/University of Brawijaya, Saiful Anwar General Hospital, MalangDepartment of Urology, Faculty of Medicine/University of Brawijaya, Saiful Anwar General Hospital, MalangDepartment of Urology, Faculty of Medicine/University of Brawijaya, Saiful Anwar General Hospital, Malang Objective: This case report presented Penile Torsion in pediatrics. Case(s) Presentation: A two-year-old boy with a chief complaint of rotated penile to the right side since birth. There were 45º in clockwise torsion, slight chordee, and uncircumcised. Patient underwent penile reconstruction surgery, including penile degloving, urethral mobilization, and plication. After seven days follow-up, parents were satisfied with straight penile erection and no torsion at all. After 3 months follow-up, parents reported satisfaction with the surgical outcome such as cosmetic appearance, straight erection, and normal stream urine. Discussion: Surgical techniques ranging from simple penile degloving with foreskin repositioning to more complex surgical procedure involving corporeal tissue. Surgery by using degloving of penile skin and realignment could be suitable for penile torsion <90°. For the cases of >90°, other techniques should be considered such as corporopexy procedure, rotation flap of dorsal dartos, or diagonal suturing of corporeal folds away from and parallel to the neurovascular bundle. Conclusion: Penile reconstruction surgery using penile degloving, urethral mobilization, and plication for penile torsion showed satisfaction result including cosmetic appearance, penile erection, and normal urine flow. Keywords: Chordee, penile reconstruction, penile torsion. http://juri.urologi.or.id/juri/article/view/921Chordeepenile reconstructionpenile torsion |
| spellingShingle | Fikri Alam Riza Putra Besut Daryanto Pradana Nurhadi PENILE TORSION OF A TWO-YEAR-OLD BOY: A CASE REPORT Jurnal Urologi Indonesia Chordee penile reconstruction penile torsion |
| title | PENILE TORSION OF A TWO-YEAR-OLD BOY: A CASE REPORT |
| title_full | PENILE TORSION OF A TWO-YEAR-OLD BOY: A CASE REPORT |
| title_fullStr | PENILE TORSION OF A TWO-YEAR-OLD BOY: A CASE REPORT |
| title_full_unstemmed | PENILE TORSION OF A TWO-YEAR-OLD BOY: A CASE REPORT |
| title_short | PENILE TORSION OF A TWO-YEAR-OLD BOY: A CASE REPORT |
| title_sort | penile torsion of a two year old boy a case report |
| topic | Chordee penile reconstruction penile torsion |
| url | http://juri.urologi.or.id/juri/article/view/921 |
| work_keys_str_mv | AT fikrialamrizaputra peniletorsionofatwoyearoldboyacasereport AT besutdaryanto peniletorsionofatwoyearoldboyacasereport AT pradananurhadi peniletorsionofatwoyearoldboyacasereport |