Kati Bulent, Akin Yigit, Demir Mehmet, Boran Omer Faruk, Gumus Kemal, Ciftci Halil
Department of Urology, Faculty of Medicine, Harran University, Sanliurfa, Turkey.
Department of Urology, Faculty of Medicine, Izmir Katip Celebi University, Izmir, Turkey.
Urologia. 2019 Nov;86(4):207-210. doi: 10.1177/0391560319844657. Epub 2019 Apr 22.
Penile fracture is one of the urological emergencies caused by direct trauma to an erect penis during sexual intercourse, which results in a tear in the tunica albuginea within the corpus cavernosum. Serious complications such as penile curvature and erectile dysfunction may develop due to inappropriate and/or late surgical repair. This study aims to evaluate patients with penile fracture and to describe their demographics, surgical repairs, and long-term outcomes.
A total of 56 patients who were diagnosed with penile fracture between January 2012 and June 2017 were reviewed. Clinical features, pre-operative assessment, time from injury to surgery, tunica defect properties, and presence of urethral injury were assessed. Early surgical management was performed. Outcomes, including International Index of Erectile Function 5 pre-operation and after 6 months, were evaluated.
The mean age was 30.2 (18-57) years. In etiological questionnaires, 32 (57.2%) patients reported direct trauma to an erect penis during intercourse. The mean size of tunica defects was 1.61 ± 0.42 (0.3-3.6) cm of the nine (16%) patients, and penile fracture was associated with urethral injury. There was no significant difference in International Index of Erectile Function 5 scores before the surgery and 6 months after surgery. Penile skin necrosis developed in one patient 10 days post-operation.
Early surgical repair could be an effective method of achieving post-operative erection success in patients with penile fracture due to direct trauma during intercourse.
阴茎骨折是性交过程中阴茎勃起时受到直接创伤导致的泌尿外科急症之一，可致使海绵体白膜撕裂。由于手术修复不当和/或延迟，可能会出现阴茎弯曲和勃起功能障碍等严重并发症。本研究旨在评估阴茎骨折患者，并描述其人口统计学特征、手术修复情况及长期预后。
回顾性分析2012年1月至2017年6月期间共56例诊断为阴茎骨折的患者。评估其临床特征、术前评估、受伤至手术的时间、白膜缺损情况及尿道损伤情况。进行早期手术治疗。评估术前及术后6个月的勃起功能国际指数5（IIEF-5）等结果。
平均年龄为30.2（18 - 57）岁。在病因调查问卷中，32例（57.2%）患者报告在性交过程中阴茎勃起时受到直接创伤。9例（16%）患者白膜缺损平均大小为1.61±0.42（0.3 - 3.6）cm，阴茎骨折与尿道损伤有关。术前及术后6个月的IIEF-5评分无显著差异。1例患者术后10天出现阴茎皮肤坏死。
早期手术修复可能是性交过程中因直接创伤导致阴茎骨折患者术后勃起成功的有效方法。
