Urethrocutaneous fistula following fracture penis

Mahapatra, Raj Kumar Sinha; Ray, Rajendra Prasad; Mishra, Swetank; Pal, Dilip Kumar

doi:10.4103/0974-7796.141015

Cited by 6 publications

(12 citation statements)

References 7 publications

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“…[ 16 ] In a study by Mahapatra et al ., 40% of patients of penile fracture were in the age group of 21–30 years of age. [ 14 ] In our study also, 50% of patients were in the age group of 31–40 years of age.…”

Section: Discussionsupporting

confidence: 66%

“…50% of patients had penile fracture due to vaginal intercourse, 25% due to masturbation and 25% due to rolling over erect penis during sleep. [ 14 ] In our study, 57% of patients had penile fracture due to coital activity, while rest of the patients, it was due to masturbation and rolling over the erect penis during sleep.…”

Section: Discussionmentioning

confidence: 59%

“…[ 7 12 13 ] Complications of penile fracture include penile curvature related to late treatment of the condition, feeling of nodular swelling, urethral stricture, and urethral cutaneous fistula. [ 7 14 ]…”

Section: Introductionmentioning

confidence: 99%

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Penile fracture

2021

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Background: Penile fracture due to various causes is urological emergency condition, which can be diagnosed on history and clinical examination of the patient. Appropriate management in each case prevents patients from future physical and psychological consequences. Materials and Methods: Fourteen patients were included in the study. The study was carried out at Ruby Hall Clinic, Pune, India, between January 1, 2016, and December 31, 2019. All patients were evaluated by history and clinical examination and radiographic investigation in suspected urethral injury. Results: Fourteen patients with penile fracture, between 20 and 50 years, were in the study. The most common mechanism of injury was abnormal positional coital activity. About 85.71% of patients were diagnosed with a history and clinical examination. Ninety-three percent of patients were treated surgically and had a successful outcome. One patient had associated urethral injury. All patients had good sexual function posttreatment except one who later recovered well on medical management. Conclusion: Early diagnosis and treatment of patients with penile fracture depend on the history and clinical examination with less role of radiological investigations. The appropriate treatment gives a good outcome.

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Section: Discussionsupporting

confidence: 66%

Section: Discussionmentioning

confidence: 59%

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Penile fracture

2021

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“…Other reported complications include urethral stricture, urethra cavernosal fistulae [ 4 ]. A case of urethrocutaneous fistula following penile fracture has also been reported [ 12 ]. However, our prospective study did not contain any such complications.…”

Section: Discussionmentioning

confidence: 99%

“…The recommended procedure involves a degloving incision, evacuation of the haematoma, and repair of the rent of the tunica albuginea with absorbable or non-absorbable sutures [ 6 ]. Unsatisfactory penile curvature and erections, urethral strictures, and urethral cutaneous fistulae are among the complications that have been associated with the delayed treatment of penile fractures [ 4 12 ].…”

Section: Introductionmentioning

confidence: 99%

Penile Fracture: Our Experience in a Tertiary Care Hospital

Mahapatra

Kundu

Pal

2015

World J Mens Health

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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.

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Urethropubic, Urethrocutaneous and Urethroperineal Fistulas

Doumanian

2022

Urinary Fistula

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Urethrocutaneous fistula following fracture penis

Cited by 6 publications

References 7 publications

Penile fracture

Penile fracture

Penile Fracture: Our Experience in a Tertiary Care Hospital

Urethropubic, Urethrocutaneous and Urethroperineal Fistulas

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