摘要
Purpose: The aim of the study was to evaluate the effectiveness of a new techn ique to repair penile torsion in children. Methods: Eighteen boys with penile to rsion were evaluated in our department from 1989 to 2003. Eleven had associated hypospadias, 4 had chordee without hypospadias, and 3 had torsion only. The dire ction of rotation was counterclockwise in 16 cases and clockwise in 2 cases. Tor sion was repaired in 6 patients by degloving the penis and reattaching the darto s and the skin (comparative group). In 11 patients (1 with prior repair), the to rsion was corrected by suturing the lateral edge of the corpus cavernosum to the pubic periosteum (study group). Two patients were not treated. Result: Follow- up ranges from 6 months to 7 years. All of the 11 cases in the study group had s atisfactory correction of the penile torsion. All of the urethroplasties for hyp ospadias were successful. In the comparative group, non e of 6 patients had satisfactory correction of the rotation. Conclusion: The technique of degloving the penis and reattaching the skin cannot reliably correct p enile torsion in our experience. Lateral suturing of tunica albuginea to the pub ic periosteum to repair penile torsion appears to be a better technique.
Purpose： The aim of the study was to evaluate the effectiveness of a new technique to repair penile torsion in children. Methods： Eighteen boys with penile torsion were evaluated in our department from 1989 to 2003. Eleven had associated hypospadias, 4 had chordee without hypospadias, and 3 had torsion only. The direction of rotation was counterclockwise in 16 eases and clockwise in 2 eases.
