Penile fracture: Differential diagnosis, management and outcome

被引:104
作者
Karadeniz, T [1 ]
Topsakal, M [1 ]
Ariman, A [1 ]
Erton, H [1 ]
Basak, D [1 ]
机构
[1] OKMEYDANI TRAINING HOSP,DEPT UROL 2,ISTANBUL,TURKEY
来源
BRITISH JOURNAL OF UROLOGY | 1996年 / 77卷 / 02期
关键词
penile fracture; penis; cavernosography; penile erection; rupture; injuries;
D O I
10.1046/j.1464-410X.1996.86420.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objective To determine the value of a diagnostic and therapeutic approach for patients presenting with acute penis and the effects of this management on the outcome. Patients and methods The study comprises 21 consecutive patients (mean age 33.3 years, range 19-53) who presented with acute penis (acute pain and swelling during and soon after intercourse). The mean interval between the accident and the treatment was 6 h (range 2-20). All patients initially underwent cavernosography, followed by surgical exploration. Results Cavernosography showed extravasation of the contrast medium, indicating a corporal tear, in 19 of 21 patients. Surgical exploration revealed rupture of the deep dorsal vein in two patients whose radiological examinations were normal, In the remaining 19 patients, corporeal tears were repaired. The mean follow-up was 26.7 months; all patients regained penile function (potency). Penile curvature was the only adverse effect in three of the 21 patients, all of whom presented for medical treatment relatively late after the initial accident. Conclusion In the management of the acute penis, cavernosography should be performed first and the treatment policy should be determined from the radiological findings. Conservative therapy should be chosen only when the corporeal bodies are intact.
引用
收藏
页码:279 / 281
页数:3
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