Fratura de pênis

Abstract

RESUMO: Objetivo: Analisar as circunstâncias, o diagnóstico, o tratamento e a evolução dos pacientes com fratura de pênis. Método: Foram acompanhados 19 pacientes no período de 1999 à 2003 com diagnóstico de fratura de pênis. Resultados: Quinze pacientes submetidos ao procedimento cirúrgico nas primeiras 48 horas evoluiram bem. Os demais quatro pacientes que foram submetidos ao tratamento clínico, por diversos fatores, evoluiram com deformidade peniana. Conclusão: Afecção que ocorre somente quando o pênis encontra-se em ereção, o tratamento cirúrgico precoce é o que demonstra melhores resultados, com preservação da função erétil (Rev. Col. Bras. Cir. 2004; 31(5): 284-286) -ISSN 0100-6991. ABSTRACT Background:To analize the ethiology, diagnosis, treatment and evolution of patients with penile fracture. Method: We analysed 19 pacients with penile fracture diagnosis between 1999 and 2003. Results: Fifteen patients were submitted to surgical therapy within the first 48 hours with good results. Four patients developed penile curvature on follow up. Conclusions: Surgical therapy showed better results with erectile function preserved.

Penile fracture: role of ultrasound

“…Immediate surgical repair is the treatment of choice for penile fracture. Surgical exploration preferably within 24 hours is advocated by recent studies ( 14 - 16 ). More serious cases such as associated with urethral injury require immediate surgical correction by re-anastomosis or suture ( 15 ).…”

Importance of time in management of fracture penis: A prospective study

“…[5] However, a few recent articles have recommended the need for early intervention within 24 h, but none have objectively proven it. [1718]…”

Fratura de pênis com trauma uretra

“…The presence of hematuria or urethral bleeding suggests greater severity of the injury, trauma on the spongy body and consequent urethral injury. This injury may progress to urethral stricture or Fournier syndrome due infiltration of infected urine [2][3][4] . In our case, the rich presentation, with all those symptoms and signs, was decisive for appropriate diagnostic measures.…”

“…Approximately 10 % of patients treated in this way evolved with significant penile curvature 3 . The most recent studies advocate surgical exploration as soon as possible, preferably within 24 hours [2][3][4] . The cases associated with urethral injury are more serious and require immediate surgical correction by re-anastomosis or suture with absorbable stitches 3 .…”

“…There is immediate loss of erection state, with large hematoma and deformation. There may be microscopic hematuria or even urethral bleeding if the rupture has reached the spongy body that surrounds the urethra, which can occur in 10 to 20% of cases 2,3 .…”