Surgical reconstruction for penile fracture: a systematic review

Kominsky, Hal; Beebe, Sarah C.; Shah, Nayan C.; Jenkins, Lawrence C.

doi:10.1038/s41443-019-0212-1

Cited by 49 publications

(34 citation statements)

References 38 publications

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“…Penile fractures are commonly seen in the region close to the suspensory penile ligament and more rarely in the mid-penile and distal penile regions. [16] Similar to the literature in our study, the most common localization of the fracture was observed in 27 (64.3%) patients in the ventrolateral of the proximal penis. Many surgical techniques aiming to reach the fracture area easily and reduce the risk of neurovascular damage have been defined.…”

Section: Discussionsupporting

confidence: 90%

“…On the other hand, although the selection of the suture material used in the repair of the fracture area varies in various studies, it has been reported that the use of both non-absorbable and absorbable sutures provides similar results. [16,17] In many studies, early surgical repair of penile fracture has been shown to be very successful in preserving sexual functions in the postoperative period. Zargooshi reported the results of 352 patients who were operated on for penile fracture.…”

Section: Discussionmentioning

confidence: 99%

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Early surgical repair or conservative treatment? Comparing patients with penile fracture concerning long-term sexual functions

Sarıkaya

Şenocak

SADİOĞLU

et al. 2021

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: To compare the patients who underwent early surgical repair of penile fracture, which is one of the urological emergencies, and patients who recovered with conservative treatment concerning long-term sexual functions. METHODS: The data of 42 patients who applied to our clinic with penile fracture between January 2010 and January 2020 were retrospectively analyzed. The patients were categorized into two groups as early operated and followed-up conservatively. The preoperative and postoperative findings of the patients were compared with the International Erectile Function Scale (IIEF-6) scores in the long-term follow-up. RESULTS: The median age of the patients was 35 (20-65) years and the median follow-up period was 52 (8-120) months. The postoperative mean IIEF-6 score of the patients was 22.98±6.52. There was no significant difference between the surgical and the conservative groups concerning postoperative complications (p=0.460). In the follow-up period, the presence of palpable plaque on the rupture area was significantly higher in the conservative group (p=0.041). However, there was no significant difference between the groups concerning IIEF-6 scores (p=0.085). CONCLUSION: Although there is no significant difference in long-term IIEF-6 scores between the two groups, the rate of palpable plaque formation is higher in patients followed-up conservatively. Therefore, early surgical repair should be considered in the foreground, especially in patients with a large rupture area.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Early surgical repair or conservative treatment? Comparing patients with penile fracture concerning long-term sexual functions

Sarıkaya

Şenocak

SADİOĞLU

et al. 2021

Ulus Travma Acil Cerrahi Derg

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show abstract

“…From its first description, PF has been managed conservatively, without surgery [2]. However, it has been observed that nearly 1/3 of the patients with PF who were treated conservatively had penis deformities and erectile dysfunction.…”

Section: Introductionmentioning

confidence: 99%

“…However, it has been observed that nearly 1/3 of the patients with PF who were treated conservatively had penis deformities and erectile dysfunction. Surgical repair, as the primary treatment modality of PF, was first presented in 1971 and today, the immediate surgical repair is the recommended treatment due to the excellent long-term results and significantly better prognosis for long-term sexual health [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Histopathological effects of aloe vera on wound healing process in penile fracture model: an experimental study

Akgül¹,

Doğantekin²,

Özer³

et al. 2021

Turk J Med Sci

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Background/aim: This study assessed the histopathological effects of Aloe vera (AV) on penile fractures (PF) formed experimentally in rat model. Materials and methods:Thirty two Wistar adult male rats (220 to 250 g) were used. PF model was created experimentally with a number 15 lancet. After the interventions, all of the rats were randomly and equally divided into 4 groups. In the first group, incision was not closed (group C). In the second group, AV was locally applied onto incision without suturing for three days (group AV). In the third group, the incision line was closed primarily (group PR). In the last group, AV was applied to primary repair region for three days (group PAV). All groups were compared to each other according to presence of fibrosis, inflammation and hyperemia-bleeding.Results: Hyperemia and bleeding were seen in all groups with varying degrees and the difference between groups was insignificant (p=1.000). According to inflammation, there was significant difference between all groups (p=0.031). No significant inflammation was observed in group AV and therefore, group AV had a better score than group PR (p=0.026).In group PAV, inflammation was less seen than group PR, however, the difference was insignificant (p=0.119).According to fibrosis, group AV and group PAV had same fibrosis rates. Fibrosis was observed in 2 (25%) rats in each group. When group PR was compared with group AV and 2 group PAV, there were no significant differences according to cavernosal tissue healing with fibrosis (p= 0.132 and p=0.132, respectively). Conclusion:Local application of AV onto the PF region without closing with suture decreased inflammation in rats.

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“…Penile fracture is a urological emergency [1]. Penile fracture is defined as a traumatic rupture of the tunica albuginea of the corpora cavernosa with or without the corpus spongiosum, secondary to blunt trauma of an erect penis, a resultant corporal defect caused by trauma to the erect penis [2] [3]. Estimated incidence of penile fracture is about 500 -660 cases per year in the USA [4].…”

Section: Introductionmentioning

confidence: 99%

Penile Fracture at the Department of Urology and Andrology, University Hospital, Brazzaville

Odzébé¹,

Mouss²,

Opara³

et al. 2019

OJU

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Objective: The objectives of this study, was to analyze epidemiological diagnosis, therapeutic option and evolutionary aspects. Materials and methods: This is a retrospective study regarding clinical data of nine penile fracture patients who have been admitted in the department of urology (university hospital, Brazzaville) from January 2006 to December 2018. The study parameters were: epidemiological, diagnosis, operative details, outcomes after treatment, and sexual disorders. Results: The mean age was 46.3 ± 14 years, ranged from 25 to 73 years. The etiology of penile fracture was coitus in 5 cases, masturbation in 3 cases and rolling of the penis on the bed in one case. 8 patients were managed surgically. The complications noticed in the postoperative period and during the follow-up visits were penile curvature in 2 cases, and erectyl dysfunction in 2 cases. Conclusion: The diagnosis of penile fracture remains clinic. Immediate surgical management is necessary for good functional result.

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Surgical reconstruction for penile fracture: a systematic review

Cited by 49 publications

References 38 publications

Early surgical repair or conservative treatment? Comparing patients with penile fracture concerning long-term sexual functions

Early surgical repair or conservative treatment? Comparing patients with penile fracture concerning long-term sexual functions

Histopathological effects of aloe vera on wound healing process in penile fracture model: an experimental study

Penile Fracture at the Department of Urology and Andrology, University Hospital, Brazzaville

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