We recommend technique of degloving first and performing an artificial erection if only skin and dartos are involved with the torsion, the common over-rotation of the skin can be used to complete the penile detorsion procedure. If the erections demonstrate persistent penile torsion, this diagonal corporal plication suture is much easier to perform than suturing the corpora to the periosteum of the pubis, which requires much more dissection, and has been very effective