Sawant Ajit Somaji, Patil Sunil Raghunath, Kumar Vikash, Kasat Gaurav Vinod
Department of Urology, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.
Urol Ann. 2016 Oct-Dec;8(4):512-515. doi: 10.4103/0974-7796.192101.
Penile injury due to constriction by a foreign object is a rare known complication, commonly seen in pediatric age group. We report four cases of penile constriction injury in adults due to various foreign objects and different indications. Between October 2014 and March 2016, four patients (mean age 42.5 years) presented with penile constriction injury with duration at presentation ranging from 18 h to 2 months. One patient had complete transection of the corpus and penile urethra. Three patients were managed successfully with daily dressings followed by split-skin grafting in one patient. One patient required delayed primary suturing after the resolution of local edema. The outcome was satisfactory in all patients with retained erectile function. Early medical attention and management is the key to success in penile constriction injury cases and to avoid complications and morbidity. Prompt removal can be challenging in cases of metal foreign bodies.
异物压迫导致的阴茎损伤是一种罕见的已知并发症，常见于儿童年龄组。我们报告了4例成人因各种异物和不同情况导致的阴茎压迫损伤。2014年10月至2016年3月期间，4例患者（平均年龄42.5岁）出现阴茎压迫损伤，就诊时病程为18小时至2个月。1例患者阴茎海绵体和阴茎尿道完全横断。3例患者通过每日换药成功处理，其中1例随后进行了植皮。1例患者在局部水肿消退后需要延迟一期缝合。所有患者勃起功能保留，结果满意。早期医疗关注和处理是阴茎压迫损伤病例成功的关键，也是避免并发症和发病的关键。对于金属异物病例，及时取出可能具有挑战性。
