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阴茎骨折的病理表现及其手术治疗

Pathological findings of penile fractures and their surgical management.

作者信息

Gontero Paolo, Muir Gordon H, Frea Bruno

机构信息

Clinica Urologica, Università del Piemonte Orientale, Novara, Italy.

出版信息

Urol Int. 2003;71(1):77-82. doi: 10.1159/000071099.

DOI:10.1159/000071099
PMID:12845266
Abstract

OBJECTIVE

In the present review we discuss the clinical presentation and the surgical approach, together with the intraoperative findings and postoperative complications which occurred in 7 patients presented for our observation with a penile injury and submitted to immediate surgical exploration.

MATERIALS AND METHODS

Our series, despite the relatively small number of cases, provide a complete pattern of the different intraoperative findings that may be encountered when approaching a penile trauma. This includes extremely rare cases like a completely transected urethra, a fracture at the base of the penis and a rupture of the deep dorsal vein.

CONCLUSION

After a thorough examination of the recent literature we conclude that the management of a penile fracture should not include any further investigation other than surgical exploration.

摘要

目的

在本综述中,我们讨论了7例因阴茎损伤前来接受观察并立即接受手术探查的患者的临床表现、手术方法、术中发现及术后并发症。

材料与方法

我们的系列研究尽管病例数量相对较少,但提供了处理阴茎创伤时可能遇到的不同术中发现的完整模式。这包括一些极为罕见的病例,如完全横断的尿道、阴茎根部骨折以及阴茎深背静脉破裂。

结论

在对近期文献进行全面审查后,我们得出结论,阴茎骨折的处理除手术探查外不应包括任何进一步的检查。

相似文献

1
Pathological findings of penile fractures and their surgical management.阴茎骨折的病理表现及其手术治疗
Urol Int. 2003;71(1):77-82. doi: 10.1159/000071099.
2
Fractured penis: diagnosis and management.阴茎骨折:诊断与处理。
J Sex Med. 2009 Dec;6(12):3231-40; quiz 3241. doi: 10.1111/j.1743-6109.2009.01593.x.
3
Functional outcomes following immediate repair of penile fracture: a tertiary referral centre experience with 76 consecutive patients.阴茎骨折即刻修复后的功能结局:一家三级转诊中心对76例连续患者的经验
Scand J Urol. 2017 Apr;51(2):170-175. doi: 10.1080/21681805.2017.1280532. Epub 2017 Jan 26.
4
Current Management of Penile Fracture: An Up-to-Date Systematic Review.阴茎骨折的当前处理方法:最新系统评价。
Sex Med Rev. 2018 Apr;6(2):253-260. doi: 10.1016/j.sxmr.2017.07.009. Epub 2017 Sep 2.
5
Sexual function and tunica albuginea wound healing following penile fracture: An 18-year follow-up study of 352 patients from Kermanshah, Iran.阴茎骨折后的性功能与白膜伤口愈合:对来自伊朗克尔曼沙赫的352例患者的18年随访研究
J Sex Med. 2009 Apr;6(4):1141-1150. doi: 10.1111/j.1743-6109.2008.01117.x. Epub 2008 Dec 4.
6
[Penile fractures: controversy of surgical vs. conservative treatment].[阴茎骨折:手术治疗与保守治疗的争议]
Aktuelle Urol. 2003 Jan;34(1):33-6. doi: 10.1055/s-2003-37557.
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Penile Fracture Following a Fall in a 7-Year-Old Male.一名7岁男性跌倒后发生阴茎骨折。
Urology. 2017 Aug;106:200-202. doi: 10.1016/j.urology.2017.04.013. Epub 2017 May 8.
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Fracture of the penis: a radiological or clinical diagnosis? A case series and literature review.阴茎骨折:放射学诊断还是临床诊断?病例系列及文献综述
Can J Urol. 2009 Apr;16(2):4568-75.
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Penile fracture: long-term results of surgical and conservative management.阴茎骨折:手术及保守治疗的长期结果
J Trauma. 2011 Aug;71(2):491-3. doi: 10.1097/TA.0b013e3182093113.
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Penile fracture: surgical repair and late effects on erectile function.阴茎骨折:手术修复及对勃起功能的远期影响
J Sex Med. 2008 Jun;5(6):1496-502. doi: 10.1111/j.1743-6109.2007.00769.x. Epub 2008 Feb 4.

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Int J Impot Res. 2024 Sep;36(6):659-664. doi: 10.1038/s41443-024-00940-4. Epub 2024 Jun 25.
2
Surgical management and post-operative functional outcomes of patients with a penile fracture-a single centre experience over 10 years.阴茎骨折患者的手术治疗和术后功能结果-10 多年单中心经验。
Ir J Med Sci. 2024 Apr;193(2):917-920. doi: 10.1007/s11845-023-03548-7. Epub 2023 Oct 21.
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Improving clinical diagnostic accuracy and management of False penile fractures characterizing typical clinical presentation: a systematic review and meta-analysis.
提高假性阴茎骨折的临床诊断准确性和管理,其特征为典型临床表现:系统评价和荟萃分析。
World J Urol. 2023 Jul;41(7):1785-1791. doi: 10.1007/s00345-023-04456-2. Epub 2023 Jun 16.
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