Isolated torsion of the penis: technique and review of the literature

Torsion of the penis is a rather rare condition in which the penis is rotated to one side with different degrees. It is a common condition when associated with other congenital defects of the penis such as hypospadias and epispadias and their variants. The association of chordee and bending of the penis is a common happening. This study in meant to demonstrate a new technique in the treatment of Torsion of the penis. Among the cases admitted to the Paediatric Surgical Unit of the Medical Research Institute and of the Faculty of Medicine-University of Alexandria, 18 cases of isolated torsion were included in this study. These were gathered based on consecutive admission in the period between March 2001 and February 2003. A total of 11 cases were admitted in the Faculty of Medicine Unit, while 7 cases were managed in the Medical Research Institute. The age ranged between 1 and 10 years with a mean of 4.4 years. The cases associated with hypospadias and epispadias were not included in this study. However, some deviation of the isolated cases of torsion included 1 case with chordee, 1 case of lateral bent penis and 2 cases of deficient ventral prepuce. The annual distribution was 6 cases in 2001, 9 cases of deficient ventral prepuce. The annual distribution was 6 cases in 2001, 9 cases in 2002 and 3 cases in 2003, Fifteen out of the 18 cases were showing an anti-clokwise torsion. Simple detorsion under general anaesthesia was the rule using a modification to adjust the shape of the penis after circumcision. This depends on protection of the glans and determination of the ratio between the post-coronal collar and the skin in anticipation. Adequate apposition of the median raphe to the new de-roted shaft is put in consideration. No complications were encountered except in one case, where residual torsion was reported after healing. Another go was necessary to ensure satisfactory detorston

Simple repair of wide neck congenital inguinal hernia

This study was done in thirty cases of congenital inguinal hernia presenting with huge unilateral sacs. The patients had bilateral hernia in only three instances. However the contralateral side was not huge as the side treated with this technique. The age of the patients varied between 35 days and 8 years. Three cases were females with unilateral huge sliding congenital inguinal hernia. The technique includes hitching of the sac stump after transfixing ligation to the under surface of the conjoined tendon and binding both to the inguinal ligament by the same suture. This will narrow the internal ring and safeguard the stump of the excised sac against internal thrust

Transverse testicular ectopia a case report and review of the literature

A rare case of transverse testicular ectopia presenting as right inguinal swelling in a cryptorchid male child of 3 years. It is considered among the youngest in the world literature. Investigations excluded any other urogenital anomalies or intersex state. The patient was operated upon, and two testes with two epidydidimes joined at their root up near the origin of the testicular artery were found. A good length of the cord and vessels of both moeties afforded orthotopic right and left subdartos pouch orchidopexy. The patient had a smooth post operative period. Confirmatory biopsy result revealed normal tubular structure and normal prepubertal testis