Ishikawa Tomomoto, Fujisawa Masato, Tamada Hiroshi, Inoue Takaaki, Shimatani Nobori
Division of Urology, Kobe University Graduate School of Medicine, Kobe, Japan.
Int J Urol. 2003 May;10(5):257-60. doi: 10.1046/j.1442-2042.2003.00619.x.
Fracture of the penis is a relatively rare condition that is defined as a rupture of the tumescent corpora cavernosa as a result of blunt trauma, most commonly during sexual intercourse or masturbation. The fracture is easy to recognize but treatment remains controversial. We, therefore, examined the treatment methods for penile fracture.
Between December 1990 and March 2001, eight patients underwent immediate surgical repair on the first or second day after fracture of the penis, and one patient underwent surgery on the 30th day after fracture, at Kansai Rosai Hospital. Patient age at presentation ranged from 15 to 55 years. Eight patients came to the hospital 2-23 h after the fracture occurred. All patients complained of penile swelling and ecchymosis. Three patients reported hearing a snapping sound. None of the patients demonstrated macroscopic hematuria.
We treated all of the patients surgically. All patients showed a unilateral injured corporeal rupture. We took a circumferential coronal incision under the glans and repaired with absorbable stitch. At follow-up, eight of the nine patients who were available reported the achievement of an adequate erection for intercourse without erectile or voiding dysfunction.
All patients were treated surgically and recovered successfully. Therefore, immediate repair is recommended for the treatment of penile fracture.
阴茎骨折是一种相对罕见的病症，定义为因钝性创伤导致勃起的海绵体破裂，最常见于性交或手淫过程中。这种骨折易于识别，但治疗方法仍存在争议。因此，我们研究了阴茎骨折的治疗方法。
1990年12月至2001年3月期间，在关西罗赛医院，8例患者在阴茎骨折后的第一天或第二天接受了即刻手术修复，1例患者在骨折后第30天接受了手术。患者就诊时的年龄在15至55岁之间。8例患者在骨折发生后2至23小时前来医院就诊。所有患者均主诉阴茎肿胀和瘀斑。3例患者报告听到了断裂声。所有患者均未出现肉眼血尿。
我们对所有患者进行了手术治疗。所有患者均表现为单侧海绵体破裂。我们在龟头下做了环形冠状切口，并用可吸收缝线进行修复。在随访中，9例可随访患者中有8例报告勃起功能足以进行性交，且无勃起或排尿功能障碍。
所有患者均接受了手术治疗并成功康复。因此，建议对阴茎骨折进行即刻修复治疗。
