# Dartos flap rotation for severe congenital penile torsion in a nine-year-old: a case report and surgical insights

## TL;DR

A nine-year-old boy with severe penile torsion was successfully treated with a Dartos flap rotation technique, offering a simple solution for resource-limited settings.

## Contribution

The paper introduces the Dartos flap rotation as a practical surgical method for treating severe penile torsion in children.

## Key findings

- The Dartos flap rotation technique was successfully used to correct severe penile torsion in a nine-year-old.
- The procedure resulted in no postoperative complications, demonstrating its effectiveness and safety.
- This approach is highlighted as a viable option in low-resource environments.

## Abstract

Congenital penile torsion, a rare anomaly characterized by the rotation of the penile shaft along its longitudinal axis, often goes unrecognized in low- and middle-income countries. This case highlights the management of a nine-year-old male presenting with isolated severe penile torsion using a Dartos flap rotation technique. The surgical approach was successful, with no postoperative complications, underscoring its utility as a simple and effective method, particularly in resource-limited settings.