阴茎骨折的外科治疗及并发症
Surgical treatment and complications of penile fractures.
作者信息
Kulovac Benjamin, Aganović Damir, Junuzović Dzelaludin, Prcić Alden, Hadziosmanović Osman, Bazardzanović Mustafa, Hodzić Harun
机构信息
Urology Clinic, Clinical University Center Sarajevo, Bolnicka 25, 71000 Sarajevo, Bosnia and Herzegovina.
出版信息
Bosn J Basic Med Sci. 2007 Feb;7(1):37-9. doi: 10.17305/bjbms.2007.3087.
Paper goal is to determine complications after urgent surgical treatment of patient with penile fractures, by using circumferential-degloving technique (degloving penile skin to root of penis). In period between 1998-2006 year, 23 patients have been treated as urgent cases with clinically proven penis fracture, age between 18 and 35. Patients were treated in 3 medical centers in Bosnia and Herzegovina(Sarajevo, Tuzla and Zenica). All 23 (100%) patients were injured during sexual intercourse. In the case of 20 (86,9%) patients partial rupture of corpus cavernosum was verified. Two (8,6%) patients had a complete rupture of urethra and it was primary sutured. In 22 cases (95,6%) spontaneous erection appeared, and in the case of 2 (8,6%) patients penile curvature was verified. Urgent surgical treatment is the best therapy choice, which enables preservation of erection in great number of cases in patients with penile fracture.
本文的目的是通过使用环切脱套技术（将阴茎皮肤脱套至阴茎根部）来确定阴茎骨折患者紧急手术治疗后的并发症。在1998年至2006年期间，23例经临床证实为阴茎骨折的患者作为紧急病例接受了治疗，年龄在18至35岁之间。这些患者在波斯尼亚和黑塞哥维那的3个医疗中心（萨拉热窝、图兹拉和泽尼察）接受治疗。所有23例（100%）患者均在性交过程中受伤。在20例（86.9%）患者中，海绵体部分破裂得到证实。2例（8.6%）患者尿道完全破裂并进行了一期缝合。22例（95.6%）患者出现自发性勃起，2例（8.6%）患者证实有阴茎弯曲。紧急手术治疗是最佳的治疗选择，它能在大量阴茎骨折患者中保留勃起功能。
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