Penile refracture: a preliminary report

Abstract

Objective:To report our institutional experience with penile refracture, including demographic data, recurrence time, etiology and operative findings in the first and second episodes.Materials and methods:Between January 1982 and September 2017, 281 patients underwent surgical treatment for penile fracture (PF) at our institution. Demographic data, clinical presentation, besides operative findings and follow-up of patients with relapsed PF were retrospectively assessed by reviewing medical records.Results:Of a total of 281 cases of PF operated at our institution, 3 (1.06%) patients experienced two episodes of trauma. Age ranged from 38 – 40 years (mean: 39.3). The recurrence time varied from 45 to 1560 days (mean: 705). Two patients presented the new fracture episode at the same site of the previous lesion, while in the other case the lesion was observed at another site.Conclusion:Recurrent FP is an extremely rare entity. The risk factors for its occurrence are still unknown. Although the lesion of the corpus cavernosum ipsilateral to the scar tissue of the prior FP is more common, contralateral rupture may be present. Nevertheless, prospective studies with larger samples should be conducted.

Contribuições dos profissionais de saúde frente ao trauma peniano

“…Segundo Barros et al (2018), os principais fatores de risco para a ocorrência da fratura peniana compreende evidências histológicas de um processo inflamatório crônico contido na túnica albugínea de indivíduos com trauma peniano, em que tecido cicatricial fibroso e inelástico da lesão anterior enfraqueceria o corpo cavernoso, tornando-o mais fraco e vulnerável para um novo evento de fratura. Essa teoria é comprovada pela predominância de casos de fratura de pênis que se iteram no corpo cavernoso ipsilateral.…”

Urethral injury in penile fracture: a narrative review

“…RGU is recommended when abnormalities are found in the IPSS questionnaire or uroflowmetry to identify possible urethral stricture or other complications. ( 8 , 22 - 24 ). Short penile urethral stenosis can be treated with sequential dilatations ( 4 , 21 ).…”

Penile Fracture: Delayed Presentation, Primary Urethral Repair and Satisfactory Outcome

“…Our findings included bulging hematoma on the right Bucks' fascia and a 4 cm transverse tear on the tunica mid shaft (Figure 3) with complete disruption of the urethra at the same level (Figure 4). Associated urethral injuries are documented in up to 38% of cases [15, 16]. The defect was repaired in two layers with PDS 3/0 suture (Figures 5 and 6).…”

“…The urethra was repaired primarily, spatulated, and anastomosed with vicryl 3/0 over the indwelling catheter with continuous suture [18, 14]; although interrupted suture repairs are most documented [19]. The postoperative outcome was satisfactory within two weeks; as primary repair has been proven to have a good outcome in some reports [16]. Hsu and colleagues documented curvature correction after some series of repair (7), but we could not find reasons for subsequent repair of curvature, as there was no previous history of curvature or demonstrable postoperative curvature.…”