Penile Fractures

Simms, Allen; Baradaran, Nima; Lue, Tom F.; Breyer, Benjamin N.

doi:10.1016/j.ucl.2021.06.011

Cited by 6 publications

(3 citation statements)

References 41 publications

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“…Penile trauma can be caused by a variety of conditions such as penile fracture, strangulation, partial avulsion or amputation, and complete loss of the penis 10–12 . While these conditions should be considered a urological emergency, many males often present late due to embarrassment and psychological, social, and ethical reasons 69 .…”

Section: Methodsmentioning

confidence: 99%

“…Immediate surgical exploration, evacuation of hematoma, and repair of the underlying tunica defect (and urethral injury) are generally recommended to provide faster recovery and minimize long-term complications (such as prolonged penile pain, hematoma, and deformity) 72 , 73 . However, it is important to counsel the patient that subsequent penile curvature and sexual dysfunction can occur in a penile fracture 10–12 , 69 .…”

Section: Methodsmentioning

confidence: 99%

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Clinical recommendations on penile reconstructive and prosthetic surgery: a consensus statement from the Asia-Pacific Society of Sexual Medicine

Chung

Jiang

et al. 2023

Sexual Medicine

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Introduction Penile reconstructive and prosthetic surgery remains a highly specialized field where potential complications can be devastating, and unrealistic patient expectations can often be difficult to manage. Furthermore, surgical practice can vary depending on locoregional expertise and sociocultural factors. Methods The Asia Pacific Society of Sexual Medicine (APSSM) panel of experts reviewed contemporary evidence regarding penile reconstructive and prosthetic surgery with an emphasis on key issues relevant to the Asia-Pacific (AP) region and developed a consensus statement and set of clinical practice recommendations on behalf of the APSSM. The Medline and EMBASE databases were searched using the following terms: “penile prosthesis implant,” “Peyronie’s disease,” “penile lengthening,” “penile augmentation,” “penile enlargement,” “buried penis,” “penile disorders,” “penile trauma,” “transgender,” and “penile reconstruction” between January 2001 and June 2022. A modified Delphi method was undertaken, and the panel evaluated, agreed, and provided consensus statements on clinically relevant penile reconstructive and prosthetic surgery, namely (1) penile prosthesis implantation, (2) Peyronie’s disease, (3) penile trauma, (4) gender-affirming (phalloplasty) surgery, and (5) penile esthetic (length and/or girth enlargement) surgery. Main outcome measures Outcomes were specific statements and clinical recommendations according to the Oxford Centre for Evidence-Based Medicine, and if clinical evidence is lacking, a consensus agreement is adopted. The panel provided statements on clinical aspects of surgical management in penile reconstructive and prosthetic surgery. Results There is a variation in surgical algorithms in patients based on sociocultural characteristics and the availability of local resources. Performing preoperative counseling and obtaining adequate informed consent are paramount and should be conducted to discuss various treatment options, including the pros and cons of each surgical intervention. Patients should be provided with information regarding potential complications related to surgery, and strict adherence to safe surgical principles, preoperative optimization of medical comorbidities and stringent postoperative care are important to improve patient satisfaction rates. For complex patients, surgical intervention should ideally be referred and performed by expert high-volume surgeons to maximize clinical outcomes. Clinical implications Due to the uneven distribution of surgical access and expertise across the AP region, development of relevant comprehensive surgical protocols and regular training programs is desirable. Strengths and Limitations This consensus statement covers comprehensive penile reconstructive and prosthetic surgery topics and is endorsed by the APSSM. The variations in surgical algorithms and lack of sufficient high-level evidence in these areas could be stated as a limitation. Conclusion This APSSM consensus statement provides clinical recommendations on the surgical management of various penile reconstructive and prosthetic surgeries. The APSSM advocates for surgeons in AP to individualize surgical options based on patient condition(s) and needs, surgeon expertise, and local resources.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Clinical recommendations on penile reconstructive and prosthetic surgery: a consensus statement from the Asia-Pacific Society of Sexual Medicine

Chung

Jiang

et al. 2023

Sexual Medicine

View full text Add to dashboard Cite

show abstract

“…2). Ultrasound has a sensitivity of up to 88% and a specificity of up to 100% for identifying penile fractures 5 . Other imaging options include magnetic resonance imaging (MRI) or evaluation by cavernosography or retrograde urethrography for urethral injury.…”

Section: Penile Traumamentioning

confidence: 99%

Penile Evaluation: An Illustrated Review

Bass,

Clancy,

Gupta

et al. 2023

Ultrasound Quarterly

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High-frequency ultrasound is the imaging modality of choice for evaluating penile pathology because of its easy access, low cost, and patient tolerance (The Penis, Diagnostic Ultrasound, second edtion. Boca Raton: CRC Press; 2007:957–978). This pictorial review will illustrate the sonographic features of emergent and nonemergent penile conditions such as penile fracture, spongial tear, urethral injury, various types of priapism, erectile dysfunction, penile abscess, and Mondor disease.

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Lower Genitourinary Tract Trauma

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2023

Acute Care Surgery in Geriatric Patients

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Penile Fractures

Cited by 6 publications

References 41 publications

Clinical recommendations on penile reconstructive and prosthetic surgery: a consensus statement from the Asia-Pacific Society of Sexual Medicine

Clinical recommendations on penile reconstructive and prosthetic surgery: a consensus statement from the Asia-Pacific Society of Sexual Medicine

Penile Evaluation: An Illustrated Review

Lower Genitourinary Tract Trauma

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