Naraynsingh Vijay, Hariharan Seetharaman, Goetz Lester, Dan Dilip
Department of Clinical Surgical Sciences, The University of the West Indies, St Augustine, Trinidad, Trinidad and Tobago.
J Androl. 2010 Mar-Apr;31(2):231-3. doi: 10.2164/jandrol.109.008268. Epub 2009 Aug 14.
Early surgery has been recommended by most authors for fractured penis. Because of gross swelling of the penis, early surgery might have to be performed with an extensive degloving incision of the penis to enable better exposure. We report a case in which the man presented late with deformity and pain. Simple repair at that stage provided a good result in this patient; hence, it might be possible to repair a fractured penis at a later stage without degloving the penis. Additionally, this presentation could probably explain the pathogenesis of the "rolling sign" described by us earlier.
大多数作者都建议对阴茎骨折进行早期手术。由于阴茎严重肿胀,早期手术可能需要在阴茎上做广泛的脱套切口,以便更好地暴露。我们报告一例患者,该男子出现畸形和疼痛较晚。在那个阶段进行简单修复,该患者取得了良好的效果;因此,有可能在后期不进行阴茎脱套的情况下修复阴茎骨折。此外,这种表现可能可以解释我们之前描述的“滚动征”的发病机制。