Penile Curvature Repair

Penile Curvature Repair

Penile Torsion

What is Penile Torsion?

Penile torsion is a fairly common congenital (present from birth) condition that can affect any male infant. It occurs more commonly than previously thought, even perhaps up to about 1 in 80 newborn males. It can range from mild to severe. It is most likely to be seen in an uncircumcised penis. Circumcision should not be performed until the child is seen by a pediatric urologist.

With this condition, the infant’s penis appears rotated, or twisted, on its axis. The penis is almost always rotated to the left (counter-clockwise).

Penile torsion can be a stand-alone medical issue, or associated with other congenital conditions of the penis.

These conditions include:

. Hypospadias (the urethra opening from which the male urinates is not located at the tip of the penis)

. Congenital chordee (penile curvature)

. Hooded prepuce (a misshapen or incomplete foreskin)

In severe cases with more than a 90 degree rotation, penile torsion should be corrected.

This condition is often noticed in the hospital or doctor’s office during circumcision or an exam. It is important to seek medical advice if you notice your child’s penis appears rotated or twisted.

It is very important to note that if there are concerns for penile torsion, either by the parent or the provider, a circumcision should be postponed until you can talk to a pediatric urologist.

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Before Penile Torsion Treatment

What causes penile torsion?

Penile torsion happens when the skin and connective tissue of the penis does not form right while the child is developing in the womb. There is no one specific thing that is known to cause penile torsion or other congenital penile conditions. However, over-exposure to female hormones has been found to be in association.

What are the symptoms of penile torsion?

Penile torsion usually causes no symptoms, especially if the penis is rotated less than 90 degrees. Most parents will talk to the doctor because of fears that the infant’s penis will cause him embarrassment later in life due to its appearance, or that he will have reproductive issues. There is no evidence that penile torsion affects a male’s reproductive potential.

How is penile torsion diagnosed?

Your pediatrician or urologist will usually be able to diagnose penile torsion simply based on a physical exam.

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Complications of Surgery

. Bleeding

. Swelling

. Poor cosmetic appearance

. Injury to the urethra/meatal stenosis

. Infants under 6 months have a greater risk of complications from general anesthesia.

During Penile Torsion Treatment

How is penile torsion treated?

Penile torsion usually does not require treatment, especially if the rotation is less than 90 degrees. However, due to cosmetic reasons, many parents of boys with mild torsion may want treatment.

Penile torsion is treated by surgery, done under general anesthesia. This is most often done between the ages of 6 months and 18 months. Infants younger than 6 months have a greater risk for the use of anesthesia.

There are different surgical methods the doctor might use, depending on whether your son has other conditions that also need treatment. Your doctor will advise you on the best treatment for your son. The most common surgical option includes a plastic surgery of the penis known as a “degloving,” with subsequent repositioning the penile skin in such a way as to minimize the appearance of penile torsion.

After Penile Torsion Treatment

What is the outlook for penile torsion?

Boys with mild penile torsion who do not have surgery should have no long-term health or reproductive issues. The same is true for boys who have their condition surgically corrected.



10 common question about Penile Curvature Repair

1Can penile curvature be corrected?
How is penile curvature treated? In mild forms it does not require any treatment. However, when the degree of curvature interferes significantly with the ability to have sexual intercourse, surgical correction is used to restore normal function and form to the penis.
2What causes congenital penile curvature?
The cause of congenital penile curvature is not known, but thought to be related to unequal growth of the erectile chambers on two opposite sites.
3What is congenital penile curvature?
Congenital penile curvature, or chordee, is defined as a congenital process which can be associated with hypospadias and is manifest by a curvature of the erect penis.
4How is Peyronie's curvature measured?
The gold standard means of curvature measurement is by intracavernosal injection (ICI) with degree of angulation determined while erect. Alternatively, curvature may be assessed by at- home photography (AHP) during the erect state, or by use of a vacuum erection device (VED) to induce an erection.
5What age does a man stop getting hard?
Most older men suffer not ED but erection dissatisfaction. Starting around age 50 (often earlier among smokers and, or, diabetics), erections change. In some men, the process is gradual, in others, it happens more quickly. Either way, older men lose the ability to raise erections solely from sexual fantasies.
6Does Viagra Help Peyronie's disease?
While erectile dysfunction drugs like sildenafil, tadalafil and vardenafil can't treat Peyronie's disease itself, they can often be used to treat ED that stems from Peyronie's disease. These drugs improve blood flow to the soft tissue of the penis, making it easier to develop and maintain an erection.
7What happens if Peyronie's disease is left untreated?
If left untreated, Peyronie's disease may cause fibrotic, nonexpansile thickening of relatively discrete areas of the corpora tunica, typically resulting in focal bend, pain or other functional or structural abnormalities of the erect penis. Many cases resolve without treatment.
8Does Peyronie's disease ever go away?
There is no cure for Peyronie's disease, but it is treatable and may go away on its own. Though it may be tempting to request medicine right away, many doctors prefer the “watchful waiting” approach if your symptoms aren't severe.
9Does penile torsion correct itself?
Surgeons do not usually correct penile torsion alone unless it approaches 90 degrees. Usually, doctors repair penile torsion at the same time as performing circumcision. Sometimes penile torsion occurs along with hypospadias, and it may be improved, at least to some extent, during hypospadias repair.
10Does penile torsion need to be corrected?
Penile torsion usually does not require treatment, especially if the rotation is less than 90 degrees. However, due to cosmetic reasons many parents of boys with mild torsion may want treatment. Penile torsion is treated by surgery, done under general anesthesia.

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