Moreno Sierra Jesús, Garde Garcia Hector, Fernandez Perez Cristina, Galante Romo Isabel, Chavez Roa Cesar, Senovilla Perez Jose Luis, Silmi Moyano Angel
Urology Department, Hospital Clínico San Carlos, Universidad Complutense, Madrid, Spain.
Urol Int. 2011;86(4):439-43. doi: 10.1159/000324249. Epub 2011 Apr 7.
The objective of this study is to describe and analyze the experience over a period of 10 years at our center through a retrospective study of a series of diagnosed and treated cases of penile fracture.
From 2005 to 2009 the Urology Department of the Hospital Clínico San Carlos of Madrid carried out a retrospective case study of a total of 15 cases of penile fracture. The diagnosis was reached through physical exploration of the patient aided by a penile ultrasound; the immediate treatment performed on the patients was emergency surgical repair.
From the total in the series (n = 15), only 1 case was associated with a complete urethral fracture (6.6%). Surgical repair was performed in all cases; the average hospital stay was 2.6 days (range 1-5), and the most frequent long-term complication was erectile dysfunction in 3 of 15 cases (20%).
A penis fracture diagnosis is mostly clinical; complementary tests, such as ultrasound, are helpful but not definitive. Surgical treatment consists of an incision that allows adequate exposure of the corpora cavernosa and urethra to repair the suspected lesions found upon diagnosis. Ambulatory follow-up is essential to diagnose and treat possible complications.
本研究的目的是通过对一系列已诊断和治疗的阴茎骨折病例进行回顾性研究，描述和分析我们中心10年间的经验。
2005年至2009年，马德里圣卡洛斯临床医院泌尿外科对总共15例阴茎骨折病例进行了回顾性病例研究。通过对患者进行体格检查并辅以阴茎超声来做出诊断；对患者立即进行的治疗是急诊手术修复。
在该系列病例总数（n = 15）中，仅1例伴有完全性尿道骨折（6.6%）。所有病例均进行了手术修复；平均住院天数为2.6天（范围1 - 5天），最常见的长期并发症是15例中有3例（20%）出现勃起功能障碍。
阴茎骨折的诊断主要依靠临床；超声等辅助检查有帮助但不具有决定性。手术治疗包括做一个切口，以便充分暴露阴茎海绵体和尿道，以修复诊断时发现的可疑损伤。门诊随访对于诊断和治疗可能出现的并发症至关重要。
