Open AccessPenile hair tourniquet resulting in hypospadias failure
Author(s) -
Lisieux Eyer de Jesus,
Jailma J. Bragança,
Julia M Rocha,
Samuel Dekermacher,
Kleber M. Anderson
Publication year - 2014
Publication title -
indian journal of urology/indian journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.333
H-Index - 30
eISSN - 1998-3824
pISSN - 0970-1591
DOI - 10.4103/0970-1591.128508
Subject(s) - medicine , hypospadias , penis , surgery , deformity , foreskin , glans , penile fracture , penile prosthesis , anastomosis , genetics , biology , cell culture
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.