Kercsik Andreas Robert Sandor, Fode Mikkel, Joensen Ulla Nordström, Azawi Nessn Htum Majeed, Sønksen Jens
Ugeskr Laeger. 2016 Oct 3;178(40).
This article describes penile fracture and testicular rupture and offers recommendations for management. Both conditions occur most commonly after blunt trauma. Diagnosis can be supported by imaging but is usually confirmed on surgical exploration, which in both cases should be carried out promptly. Penile fracture occurs most commonly related to coitus, and surgical correction decreases the risk of long-term erectile dysfunction, deformity and pain. Testicular rupture usually presents with persisting pain and haematoma after trauma, and surgery is recommended to minimize permanent organ damage.
本文描述了阴茎骨折和睾丸破裂,并提供了处理建议。这两种情况最常发生于钝性创伤后。影像学检查有助于诊断,但通常需通过手术探查来确诊,在这两种情况下均应及时进行手术探查。阴茎骨折最常发生于性交时,手术矫正可降低长期勃起功能障碍、畸形和疼痛的风险。睾丸破裂通常在创伤后表现为持续性疼痛和血肿,建议进行手术以尽量减少永久性器官损伤。