penis twist

Introduction

Introduction to penile torsion Penile torsion refers to the twisting of the penis head to one side, deviating from the midline, and more counterclockwise, that is, to the left. The penis of these patients is generally normal, some patients have abnormal distribution of hypospadias or foreskin, and the midline of the penis is biased toward the midline. side. Many cases were found during circumcision or valgus foreskin. basic knowledge The proportion of sickness: 0.01% Susceptible people: male Mode of infection: non-infectious Complications: hypospadias

Cause

Cause of penile torsion

The occurrence of congenital penile torsion may be caused by uneven development of the corpus cavernosum in the process of forming the penis in the reproductive nodules. Most of them are reversed in a counterclockwise direction, and the urethral opening and the penis ligament are often twisted to one side at the same time. According to the angle of the penis head from the midline, the penis is divided into the following three categories:

1. Mildly reverse the penis head from the midline angle of less than 60 °, normal urination, no obvious deformity appearance.

2. Moderately reverse the penis head from the midline angle between 60 ° ~ 90 °, the penis appearance and urinary function is abnormal.

3. Severely twisting the penis head from the midline angle is greater than 90°, the appearance of the penis is obviously deformed, dysuria can occur, and most of the penis and corpus cavernosum also reverse.

Prevention

Penile twist prevention

Penile torsion is a rare congenital malformation that occurs as a result of the imbalance between the corpus cavernosum and the corpus cavernosum during development.

Complication

Penile torsion complications Complications hypospadias

This disease can be combined with hypospadias, abnormal foreskin distribution and erectile abnormalities.

Symptom

Penile torsion symptoms common symptoms penile erection not hard penis abnormal pain penile erectile hypospadias

When the penis is twisted, the direction of the urethra changes, and a small number of patients may have painful symptoms when they are erect.

Examine

Penile torsion check

The penile reversal is often found in the circumcision or valgus foreskin. The diagnosis can be established according to the sign that the penis head is twisted to the side from the midline. The other genitourinary malformations should be carefully examined and excluded.

Diagnosis

Penile torsion diagnosis

Diagnostic points

1. There may be similar cases in the family, or other genetic diseases.

2, due to urethral stricture or acute angle of the urethra, dysuria, severe cases may lead to urinary retention.

3. The penis is twisted to the right or left, and the urethral opening and the ligament are upward or outward.

4, may be associated with hypospadias or other genitourinary malformations.

Diagnostic criteria and differential diagnosis

1. Diagnostic criteria: When the penis is in the normal state, it is obviously turned to the left or to the right, and the diagnosis can be confirmed.

2, differential diagnosis: Congenital penile curvature: the penis skin and the scrotum in front of the band-like adhesion caused by the penis to the ventral side, accompanied by poor urination. Hypospadias penis head type: The penis is also bent to the ventral side, the foreskin is too long and does not completely cover the dorsal side of the penis head, and the urethral opening is fissure-like.

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