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Penile hair tourniquet resulting in hypospadias failure.

Jesus LE, Bragan├ža JJ, Rocha JM, Dekermacher S, Anderson KM - Indian J Urol (2014)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery and Urology, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.

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.

No MeSH data available.


Related in: MedlinePlus

(a and b) Pre-operative presentation, before removal the entangled hair coil. Please notice the epithelialization of the cut surface in the glans and proximal penile surface and the absence of edema and open wounds. (c) The hair coil, after removal
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Figure 1: (a and b) Pre-operative presentation, before removal the entangled hair coil. Please notice the epithelialization of the cut surface in the glans and proximal penile surface and the absence of edema and open wounds. (c) The hair coil, after removal

Mentions: At admission, the patient denied new complaints and reported the usage of three injections of depot testosterone as prescribed. Physical examination showed a small and disfigured glans and a tight hair tourniquet lodged in the balanoprepucial sulcus, causing serious narrowing of the corpora, associated to a big distal urethral fistula. The urethral plate presented a fibrotic area under the hair constriction. There was no edema [Figure 1a and b]. The patient denied penile pain, including during spontaneous erections, and did not know about the PHT till the moment of our exam. The patient was long-haired as his mother had avowed to keep her son's hair long till the cure of his hypospadias. This child had a long history of social deprivation.


Penile hair tourniquet resulting in hypospadias failure.

Jesus LE, Bragan├ža JJ, Rocha JM, Dekermacher S, Anderson KM - Indian J Urol (2014)

(a and b) Pre-operative presentation, before removal the entangled hair coil. Please notice the epithelialization of the cut surface in the glans and proximal penile surface and the absence of edema and open wounds. (c) The hair coil, after removal
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4120226&req=5

Figure 1: (a and b) Pre-operative presentation, before removal the entangled hair coil. Please notice the epithelialization of the cut surface in the glans and proximal penile surface and the absence of edema and open wounds. (c) The hair coil, after removal
Mentions: At admission, the patient denied new complaints and reported the usage of three injections of depot testosterone as prescribed. Physical examination showed a small and disfigured glans and a tight hair tourniquet lodged in the balanoprepucial sulcus, causing serious narrowing of the corpora, associated to a big distal urethral fistula. The urethral plate presented a fibrotic area under the hair constriction. There was no edema [Figure 1a and b]. The patient denied penile pain, including during spontaneous erections, and did not know about the PHT till the moment of our exam. The patient was long-haired as his mother had avowed to keep her son's hair long till the cure of his hypospadias. This child had a long history of social deprivation.

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatric Surgery and Urology, Servidores do Estado Federal Hospital, Rio de Janeiro, Brazil.

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.

No MeSH data available.


Related in: MedlinePlus