Acute penile trauma and associated morbidity: 9-year experience at a tertiary care center

Phillips, Elizabeth A.; Esposito, Anthony J.; Munárriz, Ricardo

doi:10.1111/andr.12043

Cited by 30 publications

(24 citation statements)

References 30 publications

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“…The mean IIEF score of the patients was found to be 24.7 (24)(25)(26)(27)(28)(29)(30) Orta Doğu ve Orta Asya'da yayınlanan literatüre bakıldı-ğında primer nedeni şiddetli cinsel ilişki olduğu görülmek-tedir.…”

Section: Resultsunclassified

Penil fraktür ve neden olduğu üretral yaralanmaya yaklaşımımız; 10 yıllık cerrahi deneyim

Onuk¹,

Çilesiz²,

Özkan³

et al. 2017

Androl Bul

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Section: Resultsunclassified

Penil fraktür ve neden olduğu üretral yaralanmaya yaklaşımımız; 10 yıllık cerrahi deneyim

Onuk¹,

Çilesiz²,

Özkan³

et al. 2017

Androl Bul

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“…In a prospective observational study, Mahapatra et al found distal necrosis in two out of three cases where a de-gloving incision was used without performing a circumcision [20]. However, Phillips et al could not show any difference in complication rates between peno-scrotal and de-gloving approach [17]. Our patient series did not allow for a valid assessment of differences in complication rates and long-term outcomes between the two approaches, but de-gloving meant longer operation time and was more often followed by circumcision and an increased risk of prepuce complications.…”

Section: Discussionmentioning

confidence: 98%

Diagnosis and Treatment of Penile Fractures: A Single Center Series

Harbiyeli¹,

Abol‐Enein²,

Johansen³

2017

OJU

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Objectives: The aim of this study is to review the diagnostic work-up, treatment methods and outcomes in patients treated for penile fractures. Methods: Thirty-one patients were treated for penile fracture during the period 2006-2014. Data were retrieved from patients' journals and analyzed retrospectively. Follow-up data were available for 23 patients. Results: Twenty-eight patients (90%) experienced immediate pain at incidence; 29 (94%) experienced immediate swelling; 23 (74%) heard a cracking sound; 20 (65%) observed a blue discoloration immediately afterwards and 20 (65%) got immediate detumescence. Magnetic Resonance Imaging was used preoperatively in 10 patients and demonstrated the side and localization of the rupture in tunica albuginea in all cases. A longitudinal incision over the suspected site of the rupture was used in 20 patients and a sub-coronal de-gloving incision of the penile skin was used in 10 patients. The average operation time with longitudinal incision method and de-gloving was 43 minutes and 57 minutes, respectively. Short term complications were seen in four patients and long term complications were seen in 14 patients of which deviation of penis during erection was most common. Conclusions: Immediate pain, swelling and hearing a cracking sound are predominant features in the history of patients with penile fracture. Magnetic Resonance Imaging is recommended for localizing the rupture site. A longitudinal incision over the rupture site means significantly shorter operation time than de-gloving.

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“…Usually rupture of the tunica albuginea is unilateral and transverse, commonly located ventrally at the base of the penis . The patient usually describes an audible “popping” noise in conjunction with the classic triad of pain, detumescence, and haematoma …”

Section: Pathophysiology Of Penile Fracturementioning

confidence: 99%

“…The identification of blood at the penile meatus is significant of urethral involvement, the incidence of concomitant urethral injury being between 10% and 39%. Urethral injury should be suspected in the presence of bilateral cavernosa rupture and is associated with increased morbidity rates because of its severity …”

Section: Pathophysiology Of Penile Fracturementioning

confidence: 99%

“…In 1983, Dierks and Hawkins first described the use of high frequency ultrasound as a method to evaluate corpus cavernosum rupture . Some authors consider a limitation of this modality to be its operator‐dependant nature, with an accurate diagnosis reliant on the knowledge and skill of the practitioner . The advantage of ultrasound in the diagnosis of penile fracture, however, is unrivalled when its noninvasive, cost‐effective, and nonionising nature are considered.…”

Section: Ultrasound Techniquementioning

confidence: 99%

See 1 more Smart Citation

The role of ultrasound in the diagnosis of penile fracture

Napier

2018

Sonography

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Although considered a relatively rare occurrence, penile fracture is nonetheless a urological emergency. The importance of correctly identifying this pathology is essential when the long‐term sequelae of a delayed or misdiagnosis are considered. Due to the stigma attached to this entity, it is assumed that its true incidence remains underreported, and as such, literature on the sonographic evaluation of penile fracture is rendered to be relatively scarce. The consequence of such an unusual referral means that there is a gap in knowledge when it comes to attaining an accurate ultrasound diagnosis. This article will review the anatomy of the penis, the pathophysiology contributing to penile fracture, and how an inherent understanding of both is vital to the accurate sonographic grading of different fracture types. Although penile fracture is still considered a clinical diagnosis, ultrasound provides critical information in atypical or equivocal cases whereby multiple differential diagnoses cannot be excluded. The possibility of an incorrect diagnosis based on inconclusive historical and clinical findings therefore highlights not only the important role of ultrasound in the facilitation of prompt surgical intervention but also its contribution to a favourable patient outcome by way of correct management.

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Acute penile trauma and associated morbidity: 9-year experience at a tertiary care center

Cited by 30 publications

References 30 publications

Penil fraktür ve neden olduğu üretral yaralanmaya yaklaşımımız; 10 yıllık cerrahi deneyim

Penil fraktür ve neden olduğu üretral yaralanmaya yaklaşımımız; 10 yıllık cerrahi deneyim

Diagnosis and Treatment of Penile Fractures: A Single Center Series

The role of ultrasound in the diagnosis of penile fracture

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