Fracture of the penis

被引:19
作者
Dincel Ç. [1 ]
Çaşkurlu T. [1 ]
Resim S. [1 ]
Bayraktar Z. [1 ]
Taşçi A.I. [1 ]
Sevin G. [1 ]
机构
[1] Department of Urology, Vakif Gureba Education Hospital, Istanbul
关键词
Sexual Intercourse; International Urology; Tunica Albuginea; Nonabsorbable Suture; Traumatic Rupture;
D O I
10.1007/BF02564865
中图分类号
学科分类号
摘要
Fracture of the penis is a rare condition. The fracture is easy to recognize but treatment remains controversial. Between December 1991 and January 1997, eleven patients underwent emergency operation on the first day after penile fracture. Our operative plan consisted of immediate exploration, identification, debridement and primary repair of the tear in the tunica albuginea. The patients' mean age was 27 years (range 21-38 yrs.). Penile fracture was due to sexual manoeuvres in 8, manipulation in 2 and fall onto erect penis in one of 11 patients. The mean hospitalization time was 2.2 days (range 1 to 3 days). There was no significant early postoperative complication except wound infection in one patient. In the first postoperative month, there was a residual fibrosis due to nonabsorbable sutures in one patient and mild pain during coitus in the other one. All patients had full erection and no patient needed additional treatment. To avoid serious complications and preserve penile functions immediate surgical intervention is recommended.
引用
收藏
页码:761 / 765
页数:4
相关论文
共 12 条
[1]  
Creecy A.A., Beazlie Jr. F.S., Fracture of the penis: Traumatic rupture of corpora cavernosa, J. Urol., 78, (1957)
[2]  
Nicolaisen G.S., Melamud A., Williams R.D., McAninch J.W., Rupture of the corpus cavernosum: Surgical management, J. Urol., 130, (1983)
[3]  
Fetter T.R., Gartman E., Traumatic rupture of penis, Amer. J. Surg., 32, (1936)
[4]  
Andersen B.L., Pless J., Fractura penis, Ugeskr. Laeg., 138, (1976)
[5]  
Thompson R.F., Rupture (fracture) of the penis, J Urol., 71, (1954)
[6]  
Asgari M.A., Hosseini S.Y., Safarinejad M.R., Samadzadeh B., Bardideh A.R., Penile fractures: Evaluation, therapeutic approaches and long-term results, J. Urol, 155, (1996)
[7]  
Anselmo G., Rizzotti A., Felici E., Faggiano L., Maccatrozzo L., Strategia chirurgica délle fratture semplicie complicate del pene, Proceedings of XIII Congress Nazionale Societa Italiana di Chirurgia d'Urgenza, pp. 589-595, (1983)
[8]  
Kalash S.S., Young Jr. J.D., Fracture of penis: Controversy of surgical versus conservative treatment, Urology, 24, (1984)
[9]  
Grosman H., Gray R.R., St. Louis E.L., Casey R., Keresteci A.G., Elliot D.S., The role of corpus cavernosography in acute "fracture" of the penis, Radiology, 144, (1982)
[10]  
Dever D.P., Saraf P.G., Catanese R.P., Feinstein M.J., Davis R.S., Penile fracture: Operative management and cavernosography, Urology, 22, (1983)