title: Penile hair tourniquet resulting in hypospadias failure.
abstract: Penile hair tourniquet (PHT) is a painless form of penile ischemia, typically seen in toddlers with long-haired mothers, caused by entanglement of hair on the balano-prepucial sulcus, normally associated with circumcision. Its association with hypospadias has been reported only once. A school-aged boy admitted for surgery to treat hypospadias failure was incidentally detected to have PHT and severe hourglass deformity of the penis. Urethral anastomosis and glanuloplasty were done after removal of the constricting ring, without complications. Normal erections were reported during follow up. Treatment may involve urethral reconstruction and penile reimplantation in extreme cases.
authors.affiliation: Department of Pediatric Surgery and Urology, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.
authors.forename: Lisieux E
authors.initials: LE
authors.lastname: Jesus
authors.affiliation: Department of Pediatric Surgery and Urology, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.
authors.forename: Jailma J
authors.initials: JJ
authors.lastname: Bragança
authors.affiliation: Department of Pediatric Surgery and Urology, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.
authors.forename: Julia M
authors.initials: JM
authors.lastname: Rocha
authors.affiliation: Department of Pediatric Surgery and Urology, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.
authors.forename: Samuel
authors.initials: S
authors.lastname: Dekermacher
authors.affiliation: Department of Pediatric Surgery and Urology, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.
authors.forename: Kleber M
authors.initials: KM
authors.lastname: Anderson
keywords: Hair; hypospadias; ischemia; penis; reconstruction; tourniquet
references.citation: Pediatrics. 1988 Dec;82(6):925-8
references.pmid: 3186385
references.citation: BJU Int. 2002 Jul;90(1):92-6
references.pmid: 12081778
references.citation: J Med Case Rep. 2008 Jul 16;2:230
references.pmid: 18631393
references.citation: J Pediatr Surg. 2010 Jul;45(7):1514-8
references.pmid: 20638535
references.citation: Urology. 1977 Jan;9(1):42-4
references.pmid: 831352
references.citation: J Paediatr Child Health. 2008 Oct;44(10):606-7
references.pmid: 19012638
references.citation: Child Abuse Negl. 2009 Sep;33(9):569-72
references.pmid: 19811829
references.citation: Urology. 1973 Sep;2(3):310-1
references.pmid: 4747672
references.citation: Arch Pediatr Adolesc Med. 2001 Apr;155(4):515-6
references.pmid: 11296081
references.citation: Urology. 2013 Mar;81(3):653-4
references.pmid: 23290150