Kasaraneni Priyatham, Mylarappa Prasad, Gowda Ramesh Desi, Puvvada Sandeep, Kasaraneni Dheeraj
Department of Urology MS Ramaiah Medical College, Bengaluru.
Arch Ital Urol Androl. 2019 Jan 17;90(4):283-287. doi: 10.4081/aiua.2018.4.283.
Penile fracture is a rare urological emergency that always requires immediate attention. It may be associated with urethral trauma in 9% to 20% of cases. We present our experience in treating 12 such cases. This is a prospective observational study extending from January 2000 to December 2016. Each patient with penile fracture underwent a thorough clinical evaluation and received proper treatment. Seventy-five patients with penile fracture, aged 25 to 36 years (mean, 31.5 years) were evaluated in this study. Sexual intercourse was the common mechanism of injury in most of the patients. 12 of the patients had associated urethral injury. All the patients were diagnosed on taking proper history and after clinical examination. All patients were subjected emergency surgical exploration. All the patients underwent minimum of 1 year of follow-up, and were evaluated with local examination, uroflowmetry and Colour Doppler ultrasonography. Penile fracture is associated with urethral injury especially in the presence of suggestive history and physical examination like acute urinary retention, bleeding per urethra. Immediate primary surgical management of both the penile fracture and urethral injury is a safe and effective option with minimal complications.
阴茎骨折是一种罕见的泌尿外科急症，总是需要立即引起关注。在9%至20%的病例中，它可能与尿道损伤有关。我们介绍我们治疗12例此类病例的经验。这是一项从2000年1月至2016年12月的前瞻性观察研究。每例阴茎骨折患者均接受了全面的临床评估并接受了适当的治疗。本研究评估了75例年龄在25至36岁（平均31.5岁）的阴茎骨折患者。性交是大多数患者常见的损伤机制。其中12例患者伴有尿道损伤。所有患者均通过详细询问病史和临床检查后确诊。所有患者均接受了急诊手术探查。所有患者均接受了至少1年的随访，并通过局部检查、尿流率测定和彩色多普勒超声进行评估。阴茎骨折与尿道损伤有关，特别是在存在如急性尿潴留、尿道出血等提示性病史和体格检查时。对阴茎骨折和尿道损伤立即进行一期手术治疗是一种安全有效的选择，并发症最少。
