Barros R, Schulze L, Ornellas A A, Koifman L, Favorito L A
Souza Aguiar Municipal Hospital, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Urogenital Research Unit, State University of Rio de Janeiro, Rio de Janeiro, Brazil.
Int J Impot Res. 2017 Sep;29(5):207-209. doi: 10.1038/ijir.2017.24. Epub 2017 Jun 29.
The objective of the study was to evaluate the relationship between the sexual position and severity of penile fracture (PF). We studied 90 patients with PF. The mechanism of injury and the sexual position was assessed. We divided our sample by the etiology of the fracture in six groups: (a) masturbation or penile manipulation; (b) 'man-on-top' position; (c) 'doggy style' position; (d) 'woman-on-top' position; (d) blunt trauma; and (e) 'rolling over' fracture. We used the χ-test for contingency analysis of the populations under study (P<0.05). The patient's age ranged from 18 to 66 years (mean 39 years). Investigation of the injury mechanism identified sexual trauma as the main etiological factor, involved in 69 cases (76.5%). The sexual position at the time of injury varied, with 23 cases (25.5%) occurring in the 'man-on-top', 37cases (41%) in the 'doggy style' and 9 cases (10%) in the 'woman-on-top'. We do not observe differences between the severity of the PF between the 'doggy style' and 'man-on-top' (P=0.9595), but the 'doggy style' had more severity of PF when compared with 'woman-on-top' (P=0.0396) and penile manipulation (P=0.0026). The 'man-on-top' and 'doggy style' positions showed more associations with bilateral fractures of the corpus cavernosum and urethral lesions.
本研究的目的是评估性交体位与阴茎骨折(PF)严重程度之间的关系。我们研究了90例阴茎骨折患者。评估了损伤机制和性交体位。我们根据骨折病因将样本分为六组:(a)手淫或阴茎操作;(b)“男上女下”体位;(c)“后入式”体位;(d)“女上男下”体位;(d)钝性创伤;以及(e)“翻身”骨折。我们使用χ检验对所研究的人群进行列联分析(P<0.05)。患者年龄在18至66岁之间(平均39岁)。对损伤机制的调查确定性创伤为主要病因,涉及69例(76.5%)。受伤时的性交体位各不相同,“男上女下”体位发生23例(25.5%),“后入式”体位发生37例(41%),“女上男下”体位发生9例(10%)。我们未观察到“后入式”和“男上女下”体位之间阴茎骨折严重程度的差异(P=0.9595),但与“女上男下”体位(P=0.0396)和阴茎操作(P=0.0026)相比,“后入式”体位的阴茎骨折严重程度更高。“男上女下”和“后入式”体位与海绵体双侧骨折和尿道损伤的关联更多。