TORSION OF THE PENIS - A COMPARATIVE-STUDY BETWEEN 2 OPERATIVE PROCEDURES OF SKIN DEROTATION

Torsion of the penis, with or without a minor degree of hypospadias, i s a congenital abnormality that is being diagnosed more frequently and referred to pediatric surgeons. In the 5-year period 1988-1992, 16 bo ys, 9 with glanular or juxtaglanular hypospadias and 7 with isolated t orsion of the penis, were operated upon for penile torsion in our clin ic using either a circular incision at the subcoronal sulcus or Johnst on's procedure. The functional and cosmetic results in the two groups are compared and specific indications for the two techniques are discu ssed. The first technique is suggested as the procedure of choice beca use it involves minimal complications and gives the best cosmetic resu lts.