Gedik Abdullah, Kayan Devrim, Yamiş Sait, Yılmaz Yakup, Bircan Kamuran
Department of Urology, Dicle University Faculty of Medicine, Diyarbakır, Turkey.
Ulus Travma Acil Cerrahi Derg. 2011 Jan;17(1):57-60.
The aim of this study was to retrospectively evaluate our approach to the diagnosis and treatment of penile fracture.
We retrospectively evaluated the results of 107 patients with penile fracture treated in our clinic between January 1990 and January 2009. Patient age, etiology of each fracture, history, physical examination results, radiologic findings, type of treatment, and postoperative complications were recorded. In 5 cases cavernosography was performed and in 8 cases retrograde urethrography.
The most common etiologies of penile fracture were coitus and manually bending the penis for detumescence. Diagnoses were made based on history and physical examination in 102 patients and cavernosography in 5 patients. In order to evaluate urethral injury in 8 cases, retrograde urethrography was performed. Rupture was repaired surgically in 101 patients, but 6 patients were treated conservatively. Among the 6 conservatively treated patients, 3 developed penile curvature 6 months post-treatment; no complications occurred in the surgically treated patients.
Cavernosography should be performed only when history and physical examination are insufficient for diagnosis, and retrograde urethrography should be performed when urethral injury is suspected. In order to prevent the development of penile curvature and to ensure rapid recovery, early surgical repair is advised.
本研究的目的是回顾性评估我们对阴茎骨折的诊断和治疗方法。
我们回顾性评估了1990年1月至2009年1月期间在我们诊所接受治疗的107例阴茎骨折患者的结果。记录患者年龄、每次骨折的病因、病史、体格检查结果、影像学检查结果、治疗类型和术后并发症。5例患者进行了海绵体造影，8例患者进行了逆行尿道造影。
阴茎骨折最常见的病因是性交和手动弯曲阴茎以消肿。102例患者根据病史和体格检查做出诊断，5例患者根据海绵体造影做出诊断。为了评估8例患者的尿道损伤，进行了逆行尿道造影。101例患者手术修复破裂，但6例患者接受保守治疗。在6例接受保守治疗的患者中，3例在治疗后6个月出现阴茎弯曲；手术治疗的患者未发生并发症。
仅在病史和体格检查不足以诊断时才应进行海绵体造影，怀疑尿道损伤时应进行逆行尿道造影。为了防止阴茎弯曲的发生并确保快速恢复，建议早期手术修复。
