De Giorgi Gioacchino, Luciani Lorenzo G, Valotto Claudio, Moro Umberto, Praturlon Silvio, Zattoni Filiberto
Dipartimento Interaziendale di Urologia, Azienda Ospedaliera S M Misericordia, Università degli Studi, Udine.
Arch Ital Urol Androl. 2005 Jun;77(2):103-5.
Fracture of the penis is a relatively rare condition, defined as the rupture of the tumescent corpora cavernosa. The fracture is quite easily recognized, whereas its management remains controversial. Our experience regarding the early treatment of penile fractures is herein reported.
In a 7-year period (1997-2004) 10 patients aged 23 to 42 years, presented with a penile fracture, occurred during coitus. All patients were admitted to the hospital 1 to 10 hours after injury. Diagnosis was made on clinical examination. Six patients referred a snapping sound at the time of injury. Common clinical features included sudden penile pain, detumescence and penile deviation. All patients showed penile haematoma; 3 had scrotal and perineal haematoma as well. None of the patients had urethral bleeding.
all patients were surgically treated; at the time of surgery unilateral albuginea rupture was found in all cases. With a mean follow-up of 37 months (range 1-78) all cases were able to achieve an adequate erection. No complications, such as deformations, penile plaque, urethral fistula or erectile dysfunction were reported.
Immediate surgical repair in case of penile fracture is recommended in order to obtain better functional outcome and to avoid potential complications.
阴茎骨折是一种相对罕见的病症，定义为勃起状态下的海绵体破裂。骨折很容易识别，但其治疗仍存在争议。本文报告我们在阴茎骨折早期治疗方面的经验。
在7年期间（1997 - 2004年），10例年龄在23至42岁之间的患者在性交时出现阴茎骨折。所有患者在受伤后1至10小时入院。通过临床检查做出诊断。6例患者在受伤时听到啪的一声。常见的临床特征包括阴茎突然疼痛、消肿和阴茎偏斜。所有患者均出现阴茎血肿；3例还伴有阴囊和会阴血肿。所有患者均无尿道出血。
所有患者均接受手术治疗；手术时所有病例均发现单侧白膜破裂。平均随访37个月（范围1 - 78个月），所有病例均能实现充分勃起。未报告任何并发症，如畸形、阴茎硬结、尿道瘘或勃起功能障碍。
建议阴茎骨折时立即进行手术修复，以获得更好的功能结果并避免潜在并发症。
