Penile hair tourniquet resulting in hypospadias failure

Lisieux E Jesus, Jailma J Bragança, Julia M Rocha, Samuel Dekermacher, Kleber M AndersonIndian Journal of Urology 2014 30(3):345-347Penile 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.

Source: Indian Journal of Urology - July 1, 2014 Category: Urology & Nephrology Authors: Lisieux E JesusJailma J BragançaJulia M RochaSamuel DekermacherKleber M Anderson Source Type: research