Haseki Training and Research Hospital, Department of Urology, Istanbul, Turkey.
Int J Impot Res. 2020 Mar;32(2):226-231. doi: 10.1038/s41443-019-0159-2. Epub 2019 Jun 5.
Penile fracture is a rare urological occurrence resulting from a tear in the tunica albuginea of the penis. In this study, 26 patients diagnosed with a penile fracture were treated with early surgical correction. The mean age at the time of the injury was 41.7 years. The average follow-up time of the study population was 28.8 months. The mean time from fracture to surgery was 15.6 ± 19.9 h. In total, 23% of the patients had a penile nodule and 11.5% of these patients reported penile deviation. Post surgery, erectile dysfunction (ED) was present in nine (34.6%) patients. During the follow-up, the mean International Index of Erectile Function (IIEF-5) score was 20.9 ± 4.3 (10-25). There was no significant difference in the time from fracture to surgery among the patients with or without ED. However, the tunical tear size was significantly larger in the patients with ED as compared with those without ED. Furthermore, the patients with ED were older than those without ED. Older age and the size of the tunical tear appeared to be correlated with the development of ED. However, prospective large series are needed to confirm these results.
阴茎骨折是一种罕见的泌尿科疾病，是由于阴茎白膜撕裂所致。本研究对 26 例阴茎骨折患者进行了早期手术矫正治疗。损伤时的平均年龄为 41.7 岁。研究人群的平均随访时间为 28.8 个月。从骨折到手术的平均时间为 15.6±19.9 小时。共有 23%的患者有阴茎硬结，其中 11.5%的患者报告有阴茎偏斜。术后 9 例（34.6%）患者出现勃起功能障碍（ED）。随访期间，国际勃起功能指数（IIEF-5）平均评分为 20.9±4.3（10-25）。ED 患者与无 ED 患者的手术时间无显著差异。然而，ED 患者的白膜撕裂尺寸明显大于无 ED 患者。此外，ED 患者比无 ED 患者年龄更大。年龄较大和白膜撕裂的大小似乎与 ED 的发生有关。然而，需要进行前瞻性的大系列研究来证实这些结果。
