Mansoura Urology and Nephrology Center-Urology, Mansoura, Egypt.
J Sex Med. 2010 Nov;7(11):3784-8. doi: 10.1111/j.1743-6109.2009.01653.x.
The combination of lesions of the penile urethra and the corpus cavernosum is rare and is likely to worsen the immediate and long-term prognosis.
To assess the late effects of penile fractures complicated by urethral rupture treated by immediate surgical intervention.
Fourteen patients with concomitant urethral rupture were treated surgically at our center. Those patients were seen in the outpatient follow-up clinic and were re-evaluated.
Sexual Health Inventory for Men questionnaire, local examination, uroflowmetry and penile color Doppler ultrasound.
The most common cause of penile fracture is sexual intercourse (50%). The site of tunical tear was in the proximal shaft of the penis in 3 patients (21%) and in the mid of the shaft in 11 patients (79%). Urethral injury was localized at the same level as the corpus cavernosum tear in all cases; and it was partial in 11 cases and complete in 3. Long-term follow-up (mean=90 months) was available for 12 patients; among whom there was no complications in 4 (33%), painful erection in 1 (8%), erectile dysfunction in 2 (17%), and palpable fibrous nodule in 5 (47%). All patients had a normal urinary flow except one who developed relative urethral narrowing that required regular dilatation for 1 month.
The urethral injury complicating penile fracture is often partial and localized at the level of the corpora cavenosa tear. Standard treatment consists of immediate surgical repair of both urethral and corporal ruptures with no harmful long-term sequelae on urethral and erectile function in most of patients.
阴茎尿道和海绵体损伤的联合病变较为罕见，可能会使近期和远期预后恶化。
评估即时手术干预治疗合并尿道破裂的阴茎骨折的晚期效果。
在我们中心，对 14 例合并尿道破裂的患者进行了手术治疗。这些患者在门诊随访诊所就诊并接受了重新评估。
男性健康调查问卷、局部检查、尿流率和阴茎彩色多普勒超声。
最常见的阴茎骨折病因是性行为（50%）。3 例（21%）患者的白膜撕裂部位位于阴茎近端，11 例（79%）患者的白膜撕裂部位位于阴茎中段。所有病例的尿道损伤均与海绵体撕裂部位相同；11 例为部分损伤，3 例为完全损伤。12 例患者进行了长期随访（平均 90 个月）；其中 4 例（33%）无并发症，1 例（8%）勃起疼痛，2 例（17%）勃起功能障碍，5 例（47%）可触及纤维性结节。除 1 例出现相对尿道狭窄需要进行 1 个月的定期扩张外，所有患者的尿流均正常。
阴茎骨折合并的尿道损伤通常为部分损伤，且位于海绵体撕裂部位水平。标准治疗方法是即时手术修复尿道和海绵体的破裂，大多数患者的尿道和勃起功能不会产生有害的长期后遗症。
