Feki W, Derouiche A, Belhaj K, Ouni A, Ben Mouelhi S, Ben Slama M R, Ayed M, Chebil M
Department of Urology, Charles Nicolle Hospital, Tunis, Tunisia.
Int J Impot Res. 2007 Sep-Oct;19(5):471-3. doi: 10.1038/sj.ijir.3901574. Epub 2007 Jun 7.
We determined the value of diagnostic and therapeutic approaches of false penile fractures and the outcome of treatment. We retrospectively reviewed 16 cases of presumed penile fracture with a negative surgical exploration. Clinical presentation, technique of treatment and outcome were noted. The mean age was 39 years (17-64). Nine patients were injured during sexual intercourse. All the patients presented with the presumptive diagnosis of penile fracture. False penile fracture was evoked in one patient presenting a new erection. Surgical penile exploration was carried out for all the patients without any radiological explorations. It revealed nonspecific dartos bleeding in 10 cases and avulsed superficial dorsal vein in six cases requiring venous ends ligation. All the patients regained penile appearance and potency. We can hardly distinguish false penile fracture from 'true' penile fracture with certainty either clinically or radiologically, thus, surgical exploration is mostly necessary. The prognosis is excellent.
我们确定了假性阴茎骨折的诊断和治疗方法的价值以及治疗结果。我们回顾性分析了16例手术探查阴性的疑似阴茎骨折病例。记录临床表现、治疗技术和结果。平均年龄为39岁（17 - 64岁）。9例患者在性交时受伤。所有患者均有阴茎骨折的初步诊断。1例出现新勃起的患者被诊断为假性阴茎骨折。所有患者均进行了阴茎手术探查，未进行任何影像学检查。结果显示10例为非特异性肉膜出血，6例为浅表背静脉撕裂，需要进行静脉端结扎。所有患者阴茎外观和勃起功能均恢复正常。无论是在临床还是影像学上，我们都很难确切地区分假性阴茎骨折和“真性”阴茎骨折，因此，手术探查大多是必要的。预后良好。
