{"id":2149,"date":"2024-06-26T16:28:59","date_gmt":"2024-06-26T13:28:59","guid":{"rendered":"https:\/\/dregemeneroglu.com\/bebegimin-pipisinde-donukluk-var\/"},"modified":"2024-06-26T16:33:06","modified_gmt":"2024-06-26T13:33:06","slug":"bebegimin-pipisinde-donukluk-var","status":"publish","type":"post","link":"https:\/\/dregemeneroglu.com\/en\/bebegimin-pipisinde-donukluk-var\/","title":{"rendered":"**There is a torsion in my baby&#8217;s penis&#8230;**"},"content":{"rendered":"<h5 style=\"text-align: justify;\"><span style=\"font-family: arial, helvetica, sans-serif;\">From our previous videos and blogs, you know our views on neonatal circumcision. We do not believe that circumcision is medically necessary for every male; with proper hygienic care, you can benefit from the advantages of circumcision. However, if your child is to be circumcised one day due to reasons such as religion, tradition, or social pressure, we think the easiest, healthiest, and safest method is during the neonatal period. Indeed, people who have given birth outside the hospital we work with contact us within the first month to bring their babies for neonatal circumcision. We first conduct examinations and, if suitable, quickly organize their circumcisions.<\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">I want to address a common situation we encounter during these pre-circumcision examinations. In this part of the pediatric surgeon&#8217;s logbook, I will explain penile torsion.<\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">During the pre-circumcision examination, we can detect many previously unnoticed problems. Nowadays, parents are highly conscious and can question any problem. We meticulously examine and share any issues we observe with the families to minimize the risk of possible complications.<\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">To get to the point, we noticed that a significant number of babies have a spiral-shaped torsion of varying degrees, almost always counterclockwise, along the line running from the middle of the scrotum to the tip of the penis. Often associated with conditions we call hypospadias and chordee, this pathology can sometimes be found alone. I want to emphasize that penile curvature is a different issue; here, I am talking about torsion of the penis.<\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">Some studies mention that the frequency of isolated penile torsion is unknown, while others describe it as a rare anomaly, and some characterize it as common. Reported frequencies of penile torsion range from 1.7% to 27%, but torsion greater than 90 degrees is reported at only 0.7%.<\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">We conducted our own study to investigate the frequency of this problem. When we examined 1,000 healthy babies with no additional problems before circumcision, we found that 20% had torsion. A very high rate\u2014imagine, one in five babies has torsion. Among these 200 babies, we found torsion greater than 45 degrees in 43 babies, and in very few, it was more than 90 degrees.<\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">There are some theories about why this occurs, but I won&#8217;t bore you with them here. <\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">So, is this really a problem if it&#8217;s so common? Does it cause complaints? In most cases, it doesn&#8217;t cause any problems. However, parents want the cosmetic defect corrected. One study mentioned that it could cause a disruption in urine flow in about 60% of cases.<\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">In a study conducted on adults, over 10,000 patients were examined, and it was found that only 2% were bothered by this condition. <\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">It seems it doesn&#8217;t cause much of a problem. What do we do? <\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">In our study, we circumcised all 157 babies with low-degree torsion below 45 degrees. For babies with high-degree torsion, we provided sufficient information to their families and recommended correction with circumcision under general anesthesia after six months of age. <\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">In follow-up examinations on the seventh day after surgery, there were no complications, and the parents were satisfied with the results. When we contacted the parents about 1.5 years later, we learned that they were happy with the cosmetic appearance. We presented these findings at our National Pediatric Surgery Congress and published them in an international journal.<\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">To summarize, low-degree torsions are not significant, while high-degree ones can be corrected during circumcision under general anesthesia, mainly for aesthetic reasons. <\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">That&#8217;s the end of another log. If you want to watch what I\u2019ve explained, please click on my <a href=\"https:\/\/www.youtube.com\/watch?v=PHijp7yYaeA&amp;t=75s\"><span style=\"color: #3366ff;\"><strong><span style=\"text-decoration: underline;\">YouTube channel<\/span><\/strong><\/span><\/a>. Stay happy.<\/span><\/p>\n<p><span style=\"font-family: arial, helvetica, sans-serif;\">Prof. Dr. Egemen Ero\u011flu<\/span><br \/>\n<span style=\"font-family: arial, helvetica, sans-serif;\">April 2024<\/span><\/h5>\n","protected":false},"excerpt":{"rendered":"<p>From our previous videos and blogs, you know our views on neonatal circumcision. We do not believe that circumcision is medically necessary for every male; with proper hygienic care, you can benefit from the advantages of circumcision. However, if your child is to be circumcised one day due to reasons such as religion, tradition, or [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":2072,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35],"tags":[],"class_list":["post-2149","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog-en"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>**There is a torsion in my baby&#039;s penis...** - Prof. Dr. Egemen Ero\u011flu<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dregemeneroglu.com\/en\/bebegimin-pipisinde-donukluk-var\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"**There is a torsion in my baby&#039;s penis...** - Prof. Dr. Egemen Ero\u011flu\" \/>\n<meta property=\"og:description\" content=\"From our previous videos and blogs, you know our views on neonatal circumcision. 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