Penile Fracture: Our Experience in a Tertiary Care Hospital

Abstract

PurposePenile fracture is rare, but it is a urological emergency that always requires immediate attention. Moreover, penile fracture has been reported more frequently in recent years. It may have devastating physical, functional, and psychological consequences if not properly managed in time.Materials and MethodsThe objective of this study was to highlight the causes, clinical presentation, and outcomes of cases of penile fracture. This was a prospective observational study extending from November 2012 to November 2014. Each patient underwent a thorough clinical evaluation and received proper treatment.ResultsTwenty patients with penile fracture, aged 19 to 56 years (mean, 28 years) were evaluated in this study. Vaginal intercourse was the most common mechanism of injury. Most of the patients (95%) were diagnosed clinically with a proper history and clinical examination. Nineteen patients were treated surgically. The patients underwent six months of follow-up, and were evaluated with local examinations, questionnaires, and colour Doppler ultrasonography as necessary.ConclusionsAlthough penile fracture is an under-reported urological emergency, its incidence is increasing. It is usually diagnosed based on a clinical examination, but ultrasonography can be very helpful in diagnosis. Especially in cases where treatment is delayed, surgery is preferable to conservative management, because it is associated with better outcomes and fewer long-term complications.

Diagnosis and Treatment of Penile Fractures: A Single Center Series

“…The risk increases if a circumcision is not performed. 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].…”

Penile Fracture: 20 Years' Clinical Experience

“…18 Hastamızda %52,1'inin sağda, %46'sının penisin 1/3 proksimalinde olduğu görülmüştür. Cerrahi yaklaşımda insizyonun türü ve yeri operatöre bağımlıdır.…”

“…Böylece üretral ve kontralateral yaralanmalarında görülüp onarılması kolaylaşmaktadır. 18 Tunika albugineadaki defekti palpe edebildiğimiz 8 (%6,9) hastada raphe üzerinden penoskrotal insizyon, 6 (%5,2) hastada penil lateral insizyon yaparken hastaların 101 (%87,8)'inde subkoronal sirkumferensiyal insizyon tercih edilmiştir.…”

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

“…Ancak kontralateral ve üretral yaralanmaların tanısı ve tedavisine imkan tanıdığı için distal degloving insizyonu en yaygın kullanılan insizyondur. [18,19] Bizim olgularımızın tamamı sünnetli olduğu için ek bir kozmetik kaygıya yol açmayan sünnet insizyonu kullanı-larak degloving yapılmıştır.…”

“…[19,21] Bizim serimizde üretra ve bilateral kavernoz cisim hasarı olan 12 hastada oral östrojen üretral kateter çekilene kadar (10 gün) verildi. Bu protokol hem ağrılı ereksiyonları azaltmak amacıyla hem de üretral anastomozu korumak amacıyla uygulandı.…”