Pandyan G V Soundra, Zaharani Ahmed Bakeet, Al Rashid Mohammed
Department of Urology, Assir Central Hospital, ABHA, Saudi Arabia.
ScientificWorldJournal. 2006 Jan 29;6:2327-33. doi: 10.1100/tsw.2006.363.
The aim of this study was to review the pattern of penile fracture occurrence, its clinical presentation, diagnosis, management, and outcome at our center. A retrospective analysis of 26 patients with penile fractures treated at our hospital from January 1997 to January 2005 was carried out. We noted an incidence of 3.5 cases per year, occurring more commonly in unmarried men. Of our study group, 28 episodes of penile fractures occurred in 26 patients. Hospital presentation after trauma varied from 2 h to 21 days. Masturbation was the main initiating causative factor and penile hematoma was the most common clinical finding. Nearly 81% noticed the characteristic click prior to the fracture. Clinical diagnosis was adequate in a majority of the cases. Midshaft fractures with right-sided laterality were more frequent in this series. The tear size ranged from 0.5-2.5 cm with a mean of 1.1 cm. All cases, but one, were treated by surgical repair using absorbable sutures. Out of three cases treated conservatively, two failed to respond and had to be treated surgically. False fracture with dorsal vein tear was present in two cases. Involvement of bilateral corpora was seen in one patient. Infection was the most common early complication, while pain with deviation was the late complication. In our experience, clinical findings are adequate enough to diagnose fracture penis in a majority of cases. Surgical exploration with repair of the tear is recommended both in early and delayed presentations. There was no noticeable relationship to the time of initial presentation or with the size and site of tear to the final outcome.
本研究的目的是回顾我院阴茎骨折的发生模式、临床表现、诊断、治疗及预后情况。对1997年1月至2005年1月在我院治疗的26例阴茎骨折患者进行了回顾性分析。我们注意到每年的发病率为3.5例，在未婚男性中更为常见。在我们的研究组中，26例患者发生了28次阴茎骨折。受伤后到医院就诊的时间从2小时到21天不等。手淫是主要的诱发因素，阴茎血肿是最常见的临床表现。近81%的患者在骨折前注意到了特征性的咔嗒声。大多数病例临床诊断明确。本系列中，阴茎中段右侧骨折更为常见。撕裂大小在0.5 - 2.5厘米之间，平均为1.1厘米。除1例患者外，所有病例均采用可吸收缝线进行手术修复。在3例保守治疗的病例中，2例治疗无效，不得不进行手术治疗。2例患者存在伴有背静脉撕裂的假骨折。1例患者双侧海绵体受累。感染是最常见的早期并发症，而疼痛伴阴茎偏斜是晚期并发症。根据我们的经验，大多数病例的临床表现足以诊断阴茎骨折。对于早期和延迟就诊的患者，均建议进行手术探查并修复撕裂处。初始就诊时间、撕裂大小和部位与最终预后之间没有明显的关系。
