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CASE REPORT
Year : 2014  |  Volume : 30  |  Issue : 3  |  Page : 345-347

Penile hair tourniquet resulting in hypospadias failure


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

Correspondence Address:
Lisieux E Jesus
52 Presidente Domiciano St., Apt 801, Boa. Viagem, Niterˇi, Rio de Janeiro 24210-270
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.128508

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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.


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