阴茎再骨折：初步报告。
Penile refracture: a preliminary report.
机构信息
Hospital Municipal Souza Aguiar, Rio de Janeiro , RJ, Brasil.
Universidade do Estado do Rio de Janeiro, UERJ, Rio de Janeiro, RJ, Brasil.
出版信息
Int Braz J Urol. 2018 Jul-Aug;44(4):800-804. doi: 10.1590/S1677-5538.IBJU.2018.0124.
OBJECTIVE
To report our institutional experience with penile refracture, including demographic data, recurrence time, etiology and operative findings in the first and second episodes.
MATERIALS AND METHODS
Between January 1982 and September 2017, 281 patients underwent surgical treatment for penile fracture (PF) at our institution. Demographic data, clinical presentation, besides operative findings and follow-up of patients with relapsed PF were retrospectively assessed by reviewing medical records.
RESULTS
Of a total of 281 cases of PF operated at our institution, 3 (1.06%) patients experienced two episodes of trauma. Age ranged from 38 - 40 years (mean: 39.3). The recurrence time varied from 45 to 1560 days (mean: 705). Two patients presented the new fracture episode at the same site of the previous lesion, while in the other case the lesion was observed at another site.
CONCLUSION
Recurrent FP is an extremely rare entity. The risk factors for its occurrence are still unknown. Although the lesion of the corpus cavernosum ipsilateral to the scar tissue of the prior FP is more common, contralateral rupture may be present. Nevertheless, prospective studies with larger samples should be conducted.
目的
报告我们在阴茎再骨折方面的机构经验，包括人口统计学数据、复发时间、第一和第二发作的病因和手术发现。
材料和方法
1982 年 1 月至 2017 年 9 月期间，我们机构有 281 例患者接受了阴茎骨折（PF）的手术治疗。通过回顾病历，对复发 PF 患者的人口统计学数据、临床表现、手术发现和随访进行了回顾性评估。
结果
在我们机构总共 281 例 PF 患者中，有 3 例（1.06%）患者经历了两次创伤发作。年龄在 38-40 岁之间（平均年龄：39.3）。复发时间从 45 天到 1560 天不等（平均时间：705 天）。两名患者在同一部位出现新的骨折发作，而另一名患者在另一部位出现病变。
结论
复发性 FP 是一种极为罕见的疾病。其发生的危险因素仍不清楚。虽然同侧阴茎海绵体的病变比先前的 FP 瘢痕组织更常见，但可能存在对侧破裂。然而，应该进行前瞻性研究，样本量更大。
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