In the present case report, we describe a new technique for penile torsion correction that may be used in select patients. A 55-year-old male presented to our facility with a long history of erectile dysfunction.
He had counterclockwise 180° (half-circle) penile torsion and severe arteriogenic erectile dysfunction. During surgery, the decision was made to do a circumcision incision with degloving of the penis. We took down all skin and subcutaneous adhesions. This procedure resulted in partial correction of the torsion. Then, bilateral corporotomies were done with corporeal dilation and placement of 9.5 mm diameter, 18 cm long Genesis devices (Mentor Corp; Santa Barbara, CA, USA). This led to full correction of the torsion. We closed the wound with a drain inside. He had an uneventful postoperative period and was doing well 6 months after surgery.
Mohamed A Ismail, Mohamed Amin
Submitted September 10, 2010 - Accepted for Publication October 10, 2010
KEYWORDS: Penile torsion; Erectile dysfunction; Prosthesis.
CORRESPONDENCE: Mohamed Ali Ismail, MD, Elaj Medical Group, Department of Urology-Andrology, Altahleya St., Jeddah By Jeddah Mall, PO Box 51141, Jeddah 21453, Mekka, Kingdom of Saudi Arabia ().
CITATION: UroToday Int J. 2010 Dec;3(6).
doi:10.3834/uij.1944-5784.2010.12.03