La fracture de verge: à propos de six observations au CHU Sanou Souro de Bobo-Dioulasso, Burkina Faso

Paré, Abdoul-Karim; Ouattara, Adama; Botcho, Gnimdou; Kirakoya, Brahima; Kaboré, Fasnewendé Aristide; Bako, Amidou; Yé, Delphine; Bayané, Dramane; Konaté, Mireille; Kambou, T.

doi:10.11604/pamj.2019.33.257.19452

Cited by 5 publications

(2 citation statements)

References 18 publications

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“…In order to avoid delays in management and the cohort of complications, we made the operative indication without the performance of ultrasound. Our attitude is similar to that of several authors who support the thesis that no paraclinical examination should delay management [2] [3] [4] [6]. The treatment of corpora cavernosa fractures has always been a controversial issue.…”

Section: Discussionsupporting

confidence: 79%

“…However, Bennani et al, in a study of traumatic ruptures of the corpora cavernosa put an end to this controversy by reporting a complication rate of 40.7% and 8.2% for non-operative and surgical treatment respectively [9]. Nowadays, several authors recommend emergency surgical repair of urethral injury associated with corpora cavernosa fracture as the only way to prevent serious complications [4] [5] [6]. Several authors report that most patients had achieved an adequate erection after emergency surgery [2] [4] [8].…”

Section: Discussionmentioning

confidence: 99%

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Severe Coital Accident: A Rare Case of Simultaneous Fracture of the Penis and a Complete Urethral Rupture at the University Hospital of Bouake

Avion,

Akassimadou,

Ouattara

et al. 2023

OJU

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Cavernous body fracture is a rare urological emergency. Its association with complete rupture of the urethra remains exceptional. This is a report of simultaneous penile fracture and complete rupture of the urethra following a misstep in coitus. It is about a 41-year-old young adult, admitted to the surgical emergency department of the University Hospital of Bouaké on March 2, 2020 for penile pain associated with acute retention of urine. The clinical examination confirmed the diagnosis of a corpus cavernosa fracture associated with a ruptured urethra. The patient underwent cystostomy, right cavernoraphy and urethrorrhaphy. The postoperative follow-up was straightforward and the patient was discharged from the hospital on D3 postoperatively. The urethral catheter was removed on D21 postoperatively. With a follow-up of 1 year, the patient presents a good erection and does not report any voiding disorder.

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Section: Discussionsupporting

confidence: 79%

Section: Discussionmentioning

confidence: 99%

Severe Coital Accident: A Rare Case of Simultaneous Fracture of the Penis and a Complete Urethral Rupture at the University Hospital of Bouake

Avion,

Akassimadou,

Ouattara

et al. 2023

OJU

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Penile fracture in burkina faso: our experience on the management of 21 cases

et al. 2023

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Background Penile fracture is relatively a rare urological emergency and has been the topic of a few publications in the literature through clinical cases or case series. Despite this relative scarcity, it is increasingly reported as one of the andrological emergencies in Burkina Faso. The purpose of this study was to report our experience of the management of such andrological emergency in the two main university teaching hospitals of Burkina Faso. Methods This was a cross-sectional study, including retrospectively patients managed for a penile fracture between January 2016 and September 2021, and having a minimum postoperative follow-up of 6 months. The literature review was performed by analyzing the content of the following documents: consultation logs, patient records, operative report protocol. The parameters studied were age, mechanism of occurrence, clinical data, delay of management, operative technique and functional and morphological results after surgery. Erectile function was assessed by the IIEF5 score and rigidity by the EHS scale. Results Among the 24 cases of penile fracture, 21 patients were included with a median age of 32.7 ± 5.74 years (23–43 years). The most common mechanism was a coital misstep or coitus interruptus (14 patients or 66.7%). Forced self-manipulation/masturbation was noted in 4 cases (19%), and direct trauma to the penis was noted in 3 cases (14.3%). Urethrorrhagia was reported by 5 patients. The mean delay of management was 65 h (6–432 h). The main sign found was the painful swelling of the penis with an “eggplant” appearance. The surgical approach was a circumferential balanopreputial incision in all our patients. Involvement of the spongy body and urethra associated with involvement of the cavernous body was noted in 4 patients, with a single case of spongy body and urethral involvement. The mean length of hospital stay was 3 days. Postoperatively, erectile dysfunction was noted in 6 patients. A palpable nodule at the penis was observed in 12 patients. No patient reported curvature of the penis. Conclusion Penile fracture is a clinical diagnosis requiring early exploration and surgical repair to ensure better functional and morphological outcomes.

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Management of Fractures of the Corpora Cavernosa at the University Clinic of Urology and Andrology at Cnhu-Hkm in Cotonou

Hodonou,

Ngabire,

Yevi

et al. 2023

J. Med. Res.

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Background: Penile fracture is a rare accident whose diagnosis relies on a stereotyped history and a physical examination. Early surgical intervention is recommended. In Africa, as well as in Benin, research on this pathology is limited due to likely underreporting, possibly linked to cultural factors. Objectives: This study aims to examine the epidemiological, clinical, therapeutic, and evolutionary aspects of penile fracture. Methods: It is a retrospective and descriptive study collecting records of patients treated and followed for penile fracture at the Urology Department of CNHU-HKM in Cotonou between January 2010 and March 2021. Results: Over the course of 10 years, 23 cases of penile fracture were identified, representing a frequency of 2.3 cases per year. The average age of patients was 35 years, with a predominance of married individuals (n=17). Coital misstep was the primary circumstance of occurrence (n=15). The cracking sound (n=14), pain (n=23), swelling of the penis (n=16), and detumescence (n=23) were the main clinical signs. The average time to medical intervention was 13 hours. Surgical treatment with a circumferential approach under the coronal ridge was employed for all patients. The average duration of hospitalization was 60 hours. The prevalence of erectile dysfunction was 8.7% (IIEF-5). Conclusion: Penile fracture is a rare traumatic emergency. Diagnosis is facilitated by a stereotyped clinical presentation. Early surgical intervention is the optimal treatment for a favorable functional outcome.

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La fracture de verge: à propos de six observations au CHU Sanou Souro de Bobo-Dioulasso, Burkina Faso

Cited by 5 publications

References 18 publications

Severe Coital Accident: A Rare Case of Simultaneous Fracture of the Penis and a Complete Urethral Rupture at the University Hospital of Bouake

Severe Coital Accident: A Rare Case of Simultaneous Fracture of the Penis and a Complete Urethral Rupture at the University Hospital of Bouake

Penile fracture in burkina faso: our experience on the management of 21 cases

Management of Fractures of the Corpora Cavernosa at the University Clinic of Urology and Andrology at Cnhu-Hkm in Cotonou

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