Fracture of the Penis: Management and Long-Term Results of Surgical Treatment. Experience in 300 Cases

Atat, Rabii El; Sfaxi, Mohamed; Benslama, Mohamed Riadh; Derouiche, A.; Ayed, M; Mouelli, Sami Ben; Chébil, Mohamed; Zmerli, S

doi:10.1097/ta.0b013e31803428b3

Cited by 79 publications

(89 citation statements)

References 37 publications

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“…On long term, 6.6% of patients in our series had ED, which is within the range of 0-16.6% previously reported. [13][14][15][16][17][18][19] We preferred the sub-coronal circumferential incision because of the excellent exposure of the three corpora, which avoids accidental missing of a urethral injury or multiple injuries of the tunica. 26 The right side was commonly affected (56.1%) in agreement with many reports.…”

Section: Discussionmentioning

confidence: 99%

“…11,13 Contemporary series showed that the incidence of ED after surgical repair of fracture penis ranges from 0% up to 16.6%. 6,7,[13][14][15][16][17][18][19] Several important issues may be raised during discussing the development of ED after surgical repair of fracture penis. First, is delayed presentation after trauma a risk factor for ED?…”

Section: Introductionmentioning

confidence: 99%

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Risk factors of erectile dysfunction and penile vascular changes after surgical repair of penile fracture

et al. 2011

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This study was conducted to determine the preoperative and intraoperative risk factors of ED and the underlying penile vascular abnormalities among patients with penile fracture treated surgically. In all, 180 patients with penile fracture were treated surgically and followed up in one center. None of our patients had ED before the penile trauma and only two of them had risk factors for systemic vascular diseases, such as diabetes mellitus (one patient) and hypertension (one patient). After a mean follow-up of 106 months, 11 patients (6.6%) developed ED, 7 had mild ED and 4 had moderate ED. The main risk factors for subsequent ED were aging, 450 years, and bilateral corporal involvement. Among the 11 patients with ED, color Doppler ultrasonography (CDU) showed normal Doppler indices in 4 (36.4%), veno-occlusive dysfunction in 4 (36.4%) and arterial insufficiency in the remaining 3 (27.2%) patients. CDU assessments from the injured and intact sides were comparable. ED of either a psychological or vascular origin can be encountered as a long-term sequel of surgical treatment of penile fracture. Aging, 450 years, at presentation and bilateral corporal involvement is the main risk factors for subsequent development of ED.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Risk factors of erectile dysfunction and penile vascular changes after surgical repair of penile fracture

et al. 2011

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“…Tunika albuginea'nın yır-tılması için içindeki basıncın 1500 mmHg'ı geçmesi gerekir. Cinsel ilişki sırasında erekte penisin simfizis pubis veya perineye çarpması, arasında sıkışması veya erekte peniste detümesans oluşturmak için yapılan manipülasyonlar penil fraktür etiyolojisinde rol oynar (1)(2)(3)(4)(5)(6)(7)(8).…”

Section: Discussionunclassified

Penile Fracture Cases Admitted to our ED: Review of 5 Cases

Güllüpınar¹,

Acarer²,

Demirdöven³

et al. 2012

JAEMCR

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ÖZETPenil fraktür, ereksiyon halindeki penisin zorlanması ve/veya künt travmaya maruz kalması sonucu korpus kavernosumun yırtılması ile oluşur. Klasik bulguları; peniste kırılma sesi ile beraber ani baş-layan şiddetli ağrı, ereksiyon halinin süratle kaybı, şişlik, ekimoz ve deviasyondur. Tanısı, dikkatli anamnez ve fizik muayene ile konulabilir. Olguların çoğunda ek tanı yöntemlerine ihtiyaç duyulmaz. Tedavide cerrahi onarım altın standart olarak kabul edilmektedir. Bu yazıda acil servisimize başvuran beş penil fraktür olgusu sunulmuş, tanı ve tedavi yöntemleri güncel literatür bilgileri eşliğinde tartışılmıştır.Anahtar Kelimeler: Penil fraktür, üretral rüptür, acil servis Geliş Tarihi: 16.12.2010 Kabul Tarihi: 01.03.2011 ABSTRACTPenile fracture is caused by rupture of the corpus cavernosum with increased internal pressure due to straining of the erectile penis and/or exposure to an obtuse trauma. Its classical findings are sudden intense pain in the penis following a rupture sound, sudden loss of erection, swelling, ecchymoses and deviation. Diagnosis of penile fracture can be made with a careful history and physical examination. There is no need for additional diagnostic tests for most of the patients. Surgical intervention is accepted as the golden standard for the treatment of penile fracture. In our paper, five cases of penile fracture who were admitted to our emergency department are presented, and the diagnostic and treatment methods are discussed according to the recent literature.Keywords: Penile fracture, urethral rupture, emergency medicine Received: 16.12.2010 Accepted: 01.03.2011 GirişPenil fraktür, ereksiyon halindeki penisin zorlanması ve künt travmaya maruz kalması ile içindeki basıncı artmış olan korpus kavernosumun yırtılması sonucu oluşmaktadır. Penis fraktürünün en sık nedeni cinsel ilişkide pozisyon değişimi sırasındaki travma olduğu bildirilmektedir (%33-60). Klasik bulguları; peniste kopma sesi, ani başlayan ağrı, ereksiyon halinin anında kaybolması, peniste şişlik, ekimoz ve deviasyonun ortaya çıkmasıdır. Penil fraktür vakalarının tedavisi tartışılmakla birlikte standart tedavisi acil cerrahi girişimdir. Bu yazıda acil servisimize başvuran beş penil fraktür olgusu sunulmuş, tanı ve tedavi yöntemleri güncel literatür bilgileri eşliğinde tartışılmıştır. Olgu SunumlarıHastane bilgisayar kayıt sistemi 1998-2010 yılları arasında acil servise başvuran ve penil fraktür tanısı alan hastalar için taranmış, sadece 5 olgu saptanmıştır. Belirtilen tarihlerde acil servise toplam başvuru sayısı 550 bindir. Penil fraktür tanısı almış hastaların tümü Türk vatandaşı olup, yaşları 29-49 arasında değişmekte idi (yaş ortalamaları: 37). Dört hastada penil fraktür cinsel ilişki sıra-sında ortaya çıkmışken, bir vakada etiyolojide künt travma söz konusu idi. Olgu 1Yirmi dokuz yaşındaki hasta penisinde ani ortaya çıkan ağrı, şişlik, eğrilik ve şekil bozukluğu şikâyetleri ile müracaat etti. Anamnezinde cinsel ilişki sırasında penisinde kırılma sesi duyduğunu, takiben bahsedilen semptomların ortaya çıktığını söyled...

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“…Immediate surgical repair in case of penile fracture is recommended for better functional outcome avoiding potential complications is associated with a low incidence of late complication. 6,5,8 But there are proponents surgical repair even in case of delayed presentation.…”

Section: Discussionmentioning

confidence: 99%

“…5 The true incidence of penile fracture is not known even in western countries because it is under reported or hidden probably because of social embrassement and sociocultural characteristics, even it is reported to physicians it remains undiagnosed or mismanaged. 6 Predisposing factors include excessive force at coitus or manipulation, fibrosclerosis of the tunica albuginea and chronic urethritis. Cause may vary from region to region depending on the socio-cultural characteristics, masturbation habits and indulgence in sexual activities.…”

Section: Discussionmentioning

confidence: 99%

Fracture penis with urethral disruption & scrotal hematoma: A case report

Bhamare¹

2012

IOSR-JDMS

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Fracture of the Penis: Management and Long-Term Results of Surgical Treatment. Experience in 300 Cases

Abstract: Penile fracture has typical clinical signs. Early surgical treatment is associated with a low incidence of late complications. The high frequency in our area is neither because of physical nor genetic particularities. It is probably because of sociocultural characteristics.

Cited by 79 publications

References 37 publications

Risk factors of erectile dysfunction and penile vascular changes after surgical repair of penile fracture

Risk factors of erectile dysfunction and penile vascular changes after surgical repair of penile fracture

Penile Fracture Cases Admitted to our ED: Review of 5 Cases

Fracture penis with urethral disruption & scrotal hematoma: A case report

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