Dorsal dartos flap rotation versus suturing tunica albuginea to the pubic periosteum for correction of penile torsion: A prospective randomized study
Abstract Purpose To compare the results of dorsal dartos flap rotation versus suturing tunica albuginea to the pubic periosteum for correction of congenital penile torsion. Patients and methods Seventeen patients with congenital penile torsion were evaluated and managed from 2006 to 2010. On a rando...
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| Veröffentlicht in: | Journal of pediatric urology 2013-10, Vol.9 (5), p.643-647 |
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| creator | Aldaqadossi, Hussein A Elgamal, Samir A Seif Elnasr, Mohammed K |
| description | Abstract Purpose To compare the results of dorsal dartos flap rotation versus suturing tunica albuginea to the pubic periosteum for correction of congenital penile torsion. Patients and methods Seventeen patients with congenital penile torsion were evaluated and managed from 2006 to 2010. On a random basis, 9 patients underwent surgical repair using a dorsal dartos flap rotation technique (group 1), and 8 patients by suturing tunica albuginea to the pubic periosteum (group 2). All were followed up every 6 months. Results The mean age in group 1 was 52.3 ± 24.8 months, while in group 2 it was 53.4 ± 33.6 months. Mean follow up was 22.3 ± 10.2 and 21.5 ± 7.2 months in group 1 and group 2 respectively. Torsion was corrected in 6 (66.7%) patients of group 1; 3 (33.3%) had residual torsion |
| doi_str_mv | 10.1016/j.jpurol.2012.07.014 |
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Patients and methods Seventeen patients with congenital penile torsion were evaluated and managed from 2006 to 2010. On a random basis, 9 patients underwent surgical repair using a dorsal dartos flap rotation technique (group 1), and 8 patients by suturing tunica albuginea to the pubic periosteum (group 2). All were followed up every 6 months. Results The mean age in group 1 was 52.3 ± 24.8 months, while in group 2 it was 53.4 ± 33.6 months. Mean follow up was 22.3 ± 10.2 and 21.5 ± 7.2 months in group 1 and group 2 respectively. Torsion was corrected in 6 (66.7%) patients of group 1; 3 (33.3%) had residual torsion < 10°. In group 2, correction was achieved in 6 (75.0%) patients and 2 (25.0%) had residual torsion < 10°. The mean operative time was significantly less for group 1 than for group 2: 45.3 ± 7.1 and 74.5 ± 5.3 min, respectively ( P < 0.0001). Conclusions In short-term prepubertal follow up, both dorsal dartos flap rotation and suturing tunica albuginea to the pubic periosteum are effective for correction of congenital penile torsion. The former technique is easier to perform as it requires much less dissection.</description><identifier>ISSN: 1477-5131</identifier><identifier>EISSN: 1873-4898</identifier><identifier>DOI: 10.1016/j.jpurol.2012.07.014</identifier><identifier>PMID: 22878057</identifier><language>eng</language><publisher>England: Elsevier Ltd</publisher><subject>Child ; Child, Preschool ; Congenital penile torsion ; Dorsal dartos flap rotation versus suturing tunica albuginea to the pubic periosteum ; Humans ; Male ; Pediatrics ; Penile Diseases - congenital ; Penile Diseases - surgery ; Prospective Studies ; Rotation ; Surgical Flaps ; Suture Techniques ; Torsion Abnormality - congenital ; Torsion Abnormality - surgery ; Urologic Surgical Procedures, Male - methods ; Urology</subject><ispartof>Journal of pediatric urology, 2013-10, Vol.9 (5), p.643-647</ispartof><rights>Journal of Pediatric Urology Company</rights><rights>2012 Journal of Pediatric Urology Company</rights><rights>Copyright © 2012 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c417t-6d5214a5eca426419de5e3e1ede751ba5afc9a2b6c67e5dea80ff62fc079ee713</citedby><cites>FETCH-LOGICAL-c417t-6d5214a5eca426419de5e3e1ede751ba5afc9a2b6c67e5dea80ff62fc079ee713</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1477513112001921$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22878057$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Aldaqadossi, Hussein A</creatorcontrib><creatorcontrib>Elgamal, Samir A</creatorcontrib><creatorcontrib>Seif Elnasr, Mohammed K</creatorcontrib><title>Dorsal dartos flap rotation versus suturing tunica albuginea to the pubic periosteum for correction of penile torsion: A prospective randomized study</title><title>Journal of pediatric urology</title><addtitle>J Pediatr Urol</addtitle><description>Abstract Purpose To compare the results of dorsal dartos flap rotation versus suturing tunica albuginea to the pubic periosteum for correction of congenital penile torsion. Patients and methods Seventeen patients with congenital penile torsion were evaluated and managed from 2006 to 2010. On a random basis, 9 patients underwent surgical repair using a dorsal dartos flap rotation technique (group 1), and 8 patients by suturing tunica albuginea to the pubic periosteum (group 2). All were followed up every 6 months. Results The mean age in group 1 was 52.3 ± 24.8 months, while in group 2 it was 53.4 ± 33.6 months. Mean follow up was 22.3 ± 10.2 and 21.5 ± 7.2 months in group 1 and group 2 respectively. Torsion was corrected in 6 (66.7%) patients of group 1; 3 (33.3%) had residual torsion < 10°. In group 2, correction was achieved in 6 (75.0%) patients and 2 (25.0%) had residual torsion < 10°. The mean operative time was significantly less for group 1 than for group 2: 45.3 ± 7.1 and 74.5 ± 5.3 min, respectively ( P < 0.0001). Conclusions In short-term prepubertal follow up, both dorsal dartos flap rotation and suturing tunica albuginea to the pubic periosteum are effective for correction of congenital penile torsion. The former technique is easier to perform as it requires much less dissection.</description><subject>Child</subject><subject>Child, Preschool</subject><subject>Congenital penile torsion</subject><subject>Dorsal dartos flap rotation versus suturing tunica albuginea to the pubic periosteum</subject><subject>Humans</subject><subject>Male</subject><subject>Pediatrics</subject><subject>Penile Diseases - congenital</subject><subject>Penile Diseases - surgery</subject><subject>Prospective Studies</subject><subject>Rotation</subject><subject>Surgical Flaps</subject><subject>Suture Techniques</subject><subject>Torsion Abnormality - congenital</subject><subject>Torsion Abnormality - surgery</subject><subject>Urologic Surgical Procedures, Male - methods</subject><subject>Urology</subject><issn>1477-5131</issn><issn>1873-4898</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFksuO1TAMhisEYi7wBghlyaYlTi9pWSCNBhiQRmIBrKM0cYeUtCm5HOnwHrwvKWdgwYZVovj_bcefi-IZ0AoodC_nat6Sd7ZiFFhFeUWheVCcQ8_rsumH_mG-N5yXLdRwVlyEMFNac8qGx8UZYz3vacvPi59vnA_SEi19dIFMVm7EuyijcSs5oA8pkJBi8ma9IzGtRkki7ZjuzIqSREfiVyRbGo0iG3rjQsS0kMl5opz3qH7ncVMOrsZiNviQX16RK7J5F7ZdcEDi5ardYn6gJiEmfXxSPJqkDfj0_rwsvrx7-_n6fXn78ebD9dVtqRrgsex0y6CRLSrZsK6BQWOLNQJq5C2MspWTGiQbO9VxbDXKnk5TxyZF-YDIob4sXpzy5ma-JwxRLCYotFau6FIQ0LChq3tgTZY2J6nKfQePk9i8WaQ_CqBiByJmcQIidiCCcpGBZNvz-wppXFD_Nf0hkAWvTwLM_zwY9CIog6tCbfbxCe3M_yr8m0BZs3Oy3_CIYXbJr3mGAkTIHvFpX4p9J4BRCgOD-hcVsrh6</recordid><startdate>20131001</startdate><enddate>20131001</enddate><creator>Aldaqadossi, Hussein A</creator><creator>Elgamal, Samir A</creator><creator>Seif Elnasr, Mohammed K</creator><general>Elsevier Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20131001</creationdate><title>Dorsal dartos flap rotation versus suturing tunica albuginea to the pubic periosteum for correction of penile torsion: A prospective randomized study</title><author>Aldaqadossi, Hussein A ; Elgamal, Samir A ; Seif Elnasr, Mohammed K</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-6d5214a5eca426419de5e3e1ede751ba5afc9a2b6c67e5dea80ff62fc079ee713</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Child</topic><topic>Child, Preschool</topic><topic>Congenital penile torsion</topic><topic>Dorsal dartos flap rotation versus suturing tunica albuginea to the pubic periosteum</topic><topic>Humans</topic><topic>Male</topic><topic>Pediatrics</topic><topic>Penile Diseases - congenital</topic><topic>Penile Diseases - surgery</topic><topic>Prospective Studies</topic><topic>Rotation</topic><topic>Surgical Flaps</topic><topic>Suture Techniques</topic><topic>Torsion Abnormality - congenital</topic><topic>Torsion Abnormality - surgery</topic><topic>Urologic Surgical Procedures, Male - methods</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Aldaqadossi, Hussein A</creatorcontrib><creatorcontrib>Elgamal, Samir A</creatorcontrib><creatorcontrib>Seif Elnasr, Mohammed K</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Aldaqadossi, Hussein A</au><au>Elgamal, Samir A</au><au>Seif Elnasr, Mohammed K</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dorsal dartos flap rotation versus suturing tunica albuginea to the pubic periosteum for correction of penile torsion: A prospective randomized study</atitle><jtitle>Journal of pediatric urology</jtitle><addtitle>J Pediatr Urol</addtitle><date>2013-10-01</date><risdate>2013</risdate><volume>9</volume><issue>5</issue><spage>643</spage><epage>647</epage><pages>643-647</pages><issn>1477-5131</issn><eissn>1873-4898</eissn><abstract>Abstract Purpose To compare the results of dorsal dartos flap rotation versus suturing tunica albuginea to the pubic periosteum for correction of congenital penile torsion. Patients and methods Seventeen patients with congenital penile torsion were evaluated and managed from 2006 to 2010. On a random basis, 9 patients underwent surgical repair using a dorsal dartos flap rotation technique (group 1), and 8 patients by suturing tunica albuginea to the pubic periosteum (group 2). All were followed up every 6 months. Results The mean age in group 1 was 52.3 ± 24.8 months, while in group 2 it was 53.4 ± 33.6 months. Mean follow up was 22.3 ± 10.2 and 21.5 ± 7.2 months in group 1 and group 2 respectively. Torsion was corrected in 6 (66.7%) patients of group 1; 3 (33.3%) had residual torsion < 10°. In group 2, correction was achieved in 6 (75.0%) patients and 2 (25.0%) had residual torsion < 10°. The mean operative time was significantly less for group 1 than for group 2: 45.3 ± 7.1 and 74.5 ± 5.3 min, respectively ( P < 0.0001). Conclusions In short-term prepubertal follow up, both dorsal dartos flap rotation and suturing tunica albuginea to the pubic periosteum are effective for correction of congenital penile torsion. The former technique is easier to perform as it requires much less dissection.</abstract><cop>England</cop><pub>Elsevier Ltd</pub><pmid>22878057</pmid><doi>10.1016/j.jpurol.2012.07.014</doi><tpages>5</tpages></addata></record> |
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| subjects | Child Child, Preschool Congenital penile torsion Dorsal dartos flap rotation versus suturing tunica albuginea to the pubic periosteum Humans Male Pediatrics Penile Diseases - congenital Penile Diseases - surgery Prospective Studies Rotation Surgical Flaps Suture Techniques Torsion Abnormality - congenital Torsion Abnormality - surgery Urologic Surgical Procedures, Male - methods Urology |
| title | Dorsal dartos flap rotation versus suturing tunica albuginea to the pubic periosteum for correction of penile torsion: A prospective randomized study |
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