Penile Fracture in Kermanshah, Iran: Report of 172 Cases

Zargooshi, Javaad

doi:10.1016/s0022-5347(05)67361-2

Cited by 188 publications

(157 citation statements)

References 9 publications

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“…This rate is highly inferior to those reported in the United States and Europe which range from 10 to 30%, but it resembles to those reported in Asia and the Middle East. [5][6][7][8][9] Several causes of penile fracture have been reported, including traumatic coitus, violent penile manipulation, masturbation or rolling over in bed onto an erect penis. Among these causes, sexual intercourse leads the most to urethral rupture, given the high violence of the trauma in this situation.…”

Section: Discussionmentioning

confidence: 99%

“…4,12,13 Others, however, consider that routine urethrography is unnecessary, 9 as well as magnetic resonance imaging, which has been shown to be accurate in diagnosing urethral lesions. 14 In our series, we directly adopted an interventional approach since urethral rupture is often located at the same level as corporal tear.…”

Section: Management Of Penile Fracturesmentioning

confidence: 99%

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Management of penile fractures complicated by urethral rupture

et al. 2007

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The combination of lesions of the penile urethra and the corpus cavernosum is rare and likely to go unremarked. It worsens the immediate and long-term prognosis and poses a problem of management. Among 312 cases of penile fracture, we performed a retrospective study of a series of 10-case of traumatic corpora cavernosa rupture complicated with urethral rupture, treated in the department of Urology at 'Charles Nicolle' Hospital in Tunis. The median patients' age was 30 years. The most common mechanism was manipulation of an erect penis, found in six cases. Urethral rupture was suspected in all patients given the presence of bloody urethral discharge. No preoperative radiographic investigations were necessary. All patients underwent immediate surgical exploration. The urethral injury was always partial and localized at the level of the corpora tear. Surgical repair of both urethral and corpora tear was done in all patients. The follow up was uneventful. Urethrography at the removal of the transurethral catheter did not visualize contrast extravasation in any patient. No urethral stricture or erectile complaints were noted within a 36-month mean follow-up. Urethral rupture must be suspected in any case of penile fracture presenting with bloody urethral discharge. Standard treatment is immediate surgical repair.

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Section: Discussionmentioning

confidence: 99%

Section: Management Of Penile Fracturesmentioning

confidence: 99%

Management of penile fractures complicated by urethral rupture

et al. 2007

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“…On the other hand, in the Middle East, the majority of cases were reported to result from penile manipulations during masturbation. 10,19 The majority of our study population reported sexual intercourse as the cause of their penile fracture. To our knowledge, there is no study in the current literature describing the physical characteristics (weight, height, and BMI) of penile fracture patients.…”

Section: Discussionmentioning

confidence: 99%

No evidence of depression, anxiety, and sexual dysfunction following penile fracture

et al. 2011

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There is a gap in the literature about psychological status of patients following penile fracture surgery. We aimed to assess the long-term psychological status of penile fracture patients who have been treated by immediate surgical repair. A total of 32 patients with penile fracture have been treated surgically at our center. These 32 patients and 30 healthy control subjects were included in the study. All participants have completed the Hospital Anxiety and Depression Scale (HADS), Glombok-Rust Inventory of Satisfaction Scale (GRISS), and the premature ejaculation diagnostic tool (PEDT). The mean age of patients was 30.4 years and the mean body mass index was 27.3 kg m À2 . Sexual intercourse was the most common cause of the fracture. Immediate surgical repair was performed in all cases using a circumferential subcoronal incision and none of the patients had urethral injury intraoperatively. All tears were unilateral with a mean size of 1.5 cm. Only two patients had superficial dorsal vein rupture. At the day of assessment, the mean time elapsed after penile trauma was 15.9±6.3 months (range: 6-23). Only three patients had complications due to penile fracture including minimal penile curvature, penile nodule, and penile pain during intercourse. The mean scores obtained from PEDT, HADS, and GRISS did not show any statistically significant difference between groups. Anxiety, depression, premature ejaculation, and sexual dyssatisfaction levels were similar in both penile fracture patients who underwent immediate surgical repair and healthy control subjects. Immediate surgical repair of corporal ruptures have not shown any harmful psychogenic sequelae on patients with penile fracture.

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“…Complications such as penile curvature, fibrotic plaque formation and painful erection are largely prevented, sexual functions are preserved and hospitalization period is substantially shortened with the early (within 24 h after the penile fracture) surgical repair. 18,19,21 Although early surgical repair has promising outcomes, complications such as penile nodules, curvatures and sensory loss may be observed in some cases. In our series, the incidence of palpable penile nodules was determined as 5% and both penile curvature and temporary penile skin sensory loss was observed in 2% of the cases.…”

Section: Discussionmentioning

confidence: 99%

Relationship between penile fracture and Peyronie's disease: a prospective study

Açıkgöz

Gökçe²,

Aşçı

et al. 2011

Int J Impot Res

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Peyronie's disease is postulated to be initiated by repetitive minor traumas to the fully or partially erect penis. We investigated Peyronie's disease prospectively in cases treated for penile fracture (PF) within the last 20 years. Medical records of 63 cases treated for PFs were reviewed. Subjects were required to self-assess their current penile morphologies and sexual functions. Penile nodules and Peyronie's plaques were also evaluated with physical examination, ultrasonography and magnetic resonance imaging (MRI), and penile curvatures with auto-photography, and sexual function with international erectile function index (IIEF). Of the 63 cases (mean age 37 years), 46 who had mean follow-up of 63 months were re-evaluated. The mean IIEF-5 score was 23.2±3.1. Painful erections (n ¼ 5), penile nodules (n ¼ 5) and also penile curvatures o201 (n ¼ 2) were investigated. No Peyronie's plaque was palpated in any of the cases. Ultrasound and MRI showed fibrotic nodules of 5 mm in diameter, which extended into the subtunical area in the rupture site in 54% of the cases, although any thickening and Peyronie's plaque were not found in the tunica albuginea and intracavernosal septum of the cases examined. In PF patients treated surgically, the erectile function and penile morphology were preserved. In our cases PFs did not induce the development of Peyronie's disease.

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Penile Fracture in Kermanshah, Iran: Report of 172 Cases

Cited by 188 publications

References 9 publications

Management of penile fractures complicated by urethral rupture

Management of penile fractures complicated by urethral rupture

No evidence of depression, anxiety, and sexual dysfunction following penile fracture

Relationship between penile fracture and Peyronie's disease: a prospective study

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