Nasser Taha Abdel, Mostafa Taymour
Andrology and Sexology Department, Faculty of Medicine, Cairo University, Cairo, Egypt.
J Sex Med. 2008 Oct;5(10):2464-9. doi: 10.1111/j.1743-6109.2008.00851.x. Epub 2008 May 26.
Penile fracture is a traumatic rupture of the tunica albuginea because of blunt injury of an erect penis.
To assess the efficacy of a simple delayed surgical repair of penile fracture after a conservative treatment under local anesthesia in patients presented after 24 hours.
Twenty-four patients with penile fracture presented after 24 hours were subjected to history taking, clinical examination, urine analysis, and penile ultrasound. They underwent conservative treatment for 7-12 days, and then a surgical repair under local anesthesia was carried out.
A follow-up for 6 months for sexual activity and any associated complaints in addition to local examination.
All cases were presented with unilateral single tear, and the main cause of penile fracture was sexual intercourse. No intraoperative or postoperative complications were encountered. They regained their sexual activity 4-6 weeks after the repair. One case developed a mild penile deviation that did not interfere with sexual relation after the 6-month follow-up.
Surgical repair of penile fracture after a conservative treatment is an effective method for patients with delayed presentation devoid of urethral involvement.
阴茎骨折是由于勃起阴茎受到钝性损伤导致白膜创伤性破裂。
评估在局部麻醉下对伤后24小时就诊的患者进行保守治疗后简单延迟手术修复阴茎骨折的疗效。
对24例伤后24小时就诊的阴茎骨折患者进行病史采集、临床检查、尿液分析和阴茎超声检查。他们接受了7 - 12天的保守治疗，然后在局部麻醉下进行手术修复。
除局部检查外，对性活动及任何相关主诉进行6个月的随访。
所有病例均为单侧单发撕裂，阴茎骨折的主要原因是性交。未出现术中或术后并发症。修复后4 - 6周他们恢复了性活动。1例在6个月随访后出现轻度阴茎偏斜，但不影响性关系。
对于延迟就诊且无尿道损伤的患者，保守治疗后手术修复阴茎骨折是一种有效的方法。
