Congenital Isolated Penile Torsion: A Case Report in 2 Brothers

Abstract

: Penile torsion is a congenital anomaly rarely detected in isolation and mostly accompanied by hypospadias and chordee. It could also happen iatrogenically after penile circumcision. In previous literature, the incidence rate of isolated penile torsion has been reported between 1.7 and 27%. The diagnosis and treatment of penile torsion have been illustrated in the previous published articles. However, there are few published studies on the familial predominance of penile torsion. Additionally, the clinical characteristics and potential hereditary components of penile torsion are not well known. Therefore, we studied a 12-year-old boy with a severe 180-degree penile torsion, which surgically corrected and his one-year-old brother, who had mild penile torsion and surgically corrected during circumcision. Additionally, the clinical characteristics and potential hereditary components are not well known. We present a severe penile torsion 180 degrees in a 12 years old boy, which surgically corrected and mild penile torsion in one-year old his brother. 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. Three months after the operation, the pateint had a successful correction of penile rotation with no residual rotation.