1 Department of Pediatric Surgery Konya Research and Training Hospital Konya, Turkey 2 Department of Pediatric Surgery Selcuk University Selcuklu Medical Faculty Konya, Turkey Received: March 22, 2012 Accepted: April 09, 2012 Arch Clin Exp Surg 2012; 1: 122-124 DOI: 10.5455/aces.20120409014645 Corresponding Author: Ilhan Ciſtci, MD Department of Pediatric Surgery Selcuk University Selcuklu Medical Faculty Konya, Turkey driciſtci@yahoo.com Case Report Isolated Penile Torsion in Brothers: A Case Report Metin Gunduz 1 , Ilhan Ciſtci 2 Abstract Penile torsion can be congenital and associated with hypospadias and chordee, or can be acquired aſter circumcision. e incidence of isolated neonatal penile torsion was 1.7 to 27% in the literature. e majority were between 10 ° and 20 ° . Generally, torsion was to the leſt in cases. e techniques for correction of penile torsion described in the literature are penile de-gloving and reaaching of skin, resection of Buck’s fascia incising the base of the penis and removing angular ellipses of corporeal tissue with subsequent plication of tunica, and dorsal dartos flap rotation in severe cases. In conclusion, penile torsion may be familial. erefore, brothers should be examined carefully. e degloving and realignment technique is successful in isolated penile torsion. Key words: Penis, torsion, child; surgery, penile malformations Introduction Penile torsion is a malrotation of the glans with or without other penile or urethral malformations, such as chordee or hypospa- dias. Torsion is a penile curvature malforma- tion that can be congenital and associated with hypospadias, or can be acquired aſter cir- cumcision [1, 2]. Penile torsion in childhood is usually in the counterclockwise direction, more common on the leſt side, if the physician is facing the patient. Isolated penile torsion has also been described [3, 4], but reports are rare, with the largest series reporting 105 cases in the neonatal period [5]. e true incidence of the deformity is unknown. However, some authors reported the incidence of isolated pe- nile torsion varying 1.7 to 27 %. Severe penile torsion is reported in 0.7% of cases. e ma- jority (87%) were between 10 0 and 20 0 . e torsion is divided into mild (<45 degrees), moderate (45-90 degrees) and severe (>90 degrees) [3]. Although the penis may be devi- ated more than 90 degrees from the midline, the orientation of the corporal bodies and the spongiosum at the base of the penis is normal. Torsion was to the leſt in 99% of cases [5]. Congenital penile torsion is a malfor- mation of an unknown cause in which there is a three-dimensional malrotation of the corporal bodies or sometimes just the glans. e abnormal penile rotation is usually coun- terclockwise, more common on the leſt side [6], and oſten associated with other penile or urethral malformations, such as chordee or hypospadias [7]. Archives of Clinical Experimental Surgery