What question did this study set out to answer?

To present a rare case of severe congenital penile torsion in a child and review relevant literature.

April 5, 2026Clinical Case Reports0 citationsOpen Access

Severe 180° Penile Torsion With False Meatus and Intact Prepuce Resembling Normal Anatomy in a 1.5‐Year‐Old Afghan Child: A Rare Case With Literature Review

THTuryalai HakimiKabul University MJMohammad Anwar JawedKabul University

Key Points

To present a rare case of severe congenital penile torsion in a child and review relevant literature.
Case presentation of a 1.5-year-old child
Surgical technique including degloving and plication
Literature review on congenital penile torsion
Diagnosis of 180° counterclockwise penile torsion confirmed
False meatus identified alongside intact prepuce
Case highlights the surgical complexities associated with severe torsion

Abstract

ABSTRACT Congenital penile torsion is a rare rotational anomaly of the penis, usually directed counterclockwise, and may occur in isolation or with other penile malformations. It is usually asymptomatic but may lead to cosmetic or functional concerns in severe cases. The surgical technique involves penile degloving, resection of Buck's fascia, making incisions at the penile base, tunica plication, and the use of a dorsal dartos flap. Here we present a 1.5 years old child with 180° counterclockwise penile torsion, with false meatus and normal prepuce.

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