Penile degloving and dorsal dartos flap rotation approach for the management of isolated penile torsion

Objective: Penile torsion is a counterclockwise rotational anomaly of the penile shaft or glans. We aimed to evaluate the outcomes of penile degloving and dorsal dartos flap rotation used for the repair of isolated penil torsion. Material and methods: During evaluation of the patients admitted to our polyclinic for circumcision between January 2013-December 2014, 5 cases of isolated penile torsion were determined. Following the circumcision procedure performed with bipolar cautery, patients undergoing penile degloving were checked whether penile torsion was relieved or not. In case of insufficient improvement, torsion was corrected with application of dorsal dartos flap. Penile torsion was corrected with dartos flap in 2, and penile degloving in 3 cases. Results: The mean age of the patients was 5.6 years (4-7), and the mean operative time 12 minutes (7-20), respectively. The mean operation time was 17.5 (15-20) minutes and 8.3 (7-10) minutes in the dorsal dartos flap and penile degloving groups, respectively. The preoperative mean degree of penile torsion was 50 degrees (30 degrees-70 degrees). The mean degree of torsion was 65 degrees and 40 degrees in the dorsal dartos and penile degloving groups, respectively. During the postoperative follow up, 1 case of residual torsion (<10 degrees) was observed in the dorsal dartos flap group. Residual torsion was not observed in other patients. Conclusion: Exploration for isolated cases of penile torsion during the circumcision procedure should not be overlooked. Successful results can be obtained with penile degloving and dartos flap rotation in cases with low and moderate torsion.

Yazar Aykac, Aykut
Baran, Ozer
Yapici, Onur
Aygun, Bulent Alper
Aydin, Cemil
Cakan, Murat
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/3078
Tek Biçim Adres 10.5152/tud.2015.34651
Konu Başlıkları Dorsal dartos flap
penile degloving
penile torsion
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı TURKISH JOURNAL OF UROLOGY
Dergi Cilt Bilgisi 42
Dergi Sayısı 1
Sayfalar 27 - 31
Yayın Yılı 2016
Eser Adı
[dc.title]
Penile degloving and dorsal dartos flap rotation approach for the management of isolated penile torsion
Yazar
[dc.contributor.author]
Aykac, Aykut
Yazar
[dc.contributor.author]
Baran, Ozer
Yazar
[dc.contributor.author]
Yapici, Onur
Yazar
[dc.contributor.author]
Aygun, Bulent Alper
Yazar
[dc.contributor.author]
Aydin, Cemil
Yazar
[dc.contributor.author]
Cakan, Murat
Yayın Yılı
[dc.date.issued]
2016
Yayıncı
[dc.publisher]
AVES
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Objective: Penile torsion is a counterclockwise rotational anomaly of the penile shaft or glans. We aimed to evaluate the outcomes of penile degloving and dorsal dartos flap rotation used for the repair of isolated penil torsion. Material and methods: During evaluation of the patients admitted to our polyclinic for circumcision between January 2013-December 2014, 5 cases of isolated penile torsion were determined. Following the circumcision procedure performed with bipolar cautery, patients undergoing penile degloving were checked whether penile torsion was relieved or not. In case of insufficient improvement, torsion was corrected with application of dorsal dartos flap. Penile torsion was corrected with dartos flap in 2, and penile degloving in 3 cases. Results: The mean age of the patients was 5.6 years (4-7), and the mean operative time 12 minutes (7-20), respectively. The mean operation time was 17.5 (15-20) minutes and 8.3 (7-10) minutes in the dorsal dartos flap and penile degloving groups, respectively. The preoperative mean degree of penile torsion was 50 degrees (30 degrees-70 degrees). The mean degree of torsion was 65 degrees and 40 degrees in the dorsal dartos and penile degloving groups, respectively. During the postoperative follow up, 1 case of residual torsion (<10 degrees) was observed in the dorsal dartos flap group. Residual torsion was not observed in other patients. Conclusion: Exploration for isolated cases of penile torsion during the circumcision procedure should not be overlooked. Successful results can be obtained with penile degloving and dartos flap rotation in cases with low and moderate torsion.
Açıklama
[dc.description]
WOS: 000373225100005
Açıklama
[dc.description]
PubMed: 27011878
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Dorsal dartos flap
Konu Başlıkları
[dc.subject]
penile degloving
Konu Başlıkları
[dc.subject]
penile torsion
Haklar
[dc.rights]
info:eu-repo/semantics/openAccess
ISSN
[dc.identifier.issn]
2149-3235
ISSN
[dc.identifier.issn]
2149-3057
İlk Sayfa Sayısı
[dc.identifier.startpage]
27
Son Sayfa Sayısı
[dc.identifier.endpage]
31
Dergi Adı
[dc.relation.journal]
TURKISH JOURNAL OF UROLOGY
Dergi Sayısı
[dc.identifier.issue]
1
Dergi Cilt Bilgisi
[dc.identifier.volume]
42
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.5152/tud.2015.34651
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/3078
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
16
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 07:22
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Tıklayınız
torsion penile dartos degloving dorsal patients isolated degrees respectively minutes circumcision degrees) groups During degree procedure rotation observed Penile corrected operation (7-20) preoperative (15-20) (7-10) Objective Exploration moderate obtained results Successful overlooked should during Conclusion
6698 sayılı Kişisel Verilerin Korunması Kanunu kapsamında yükümlülüklerimiz ve çerez politikamız hakkında bilgi sahibi olmak için alttaki bağlantıyı kullanabilirsiniz.

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