title: Penile torsion repair using dorsal dartos flap rotation.
abstract: OBJECTIVE
  Counterclockwise penile torsion is a frequently noted congenital deformity. Previously proposed techniques of torsion repair are ineffective or pose significant operative risks. We introduce a novel technique using dorsal dartos flap rotation.
  
  
  METHODS
  The penis is first degloved completely and a broad based dartos flap is mobilized from the dorsal penile skin. The flap is rotated around the right side of the penile shaft and attached to the ventral aspect, causing clockwise penile rotation. Final slight adjustments are made during skin closure. We applied this technique in 8 patients undergoing circumcision (2), chordee (4) or hypospadias (2) repair.
  
  
  RESULTS
  This technique was effective for correcting penile torsion in all patients. At a mean followup of 8.3 months the cosmetic outcome was satisfactory with the complete correction of penile torsion.
  
  
  CONCLUSIONS
  Rotational repositioning of a dorsal dartos flap is an effective technique for correcting penile torsion and it is easily applicable with other penile reconstruction procedures.
authors.affiliation: Department of Urology, University of Michigan Medical School, Ann Arbor, USA.
authors.forename: peter C
authors.initials: pC
authors.lastname: Fisher
authors.forename: john M
authors.initials: jM
authors.lastname: Park
mesh_terms: D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D010409:Penile Diseases / Q000601:surgery*; D013524:Surgical Flaps; D014102:Torsion Abnormality / Q000601:surgery; D013521:Urologic Surgical Procedures, Male / Q000379:methods