Departamento de Urologia, Universidade Federal Fluminense - UFF, Niterói, RJ, Brasil.
Unidade de Pesquisa Urogenital, Universidade Estadual do Rio de Janeiro - UERJ, Rio de Janeiro, RJ, Brasil.
Int Braz J Urol. 2020 Mar-Apr;46(2):152-157. doi: 10.1590/S1677-5538.IBJU.2020.99.02.
To present the evolution and the recent data on the etiology, diagnosis, management and outcomes of penile fracture (PF) with concomitant urethral injury.
We searched the Pubmed database between 1998 and 2019 using the following key words: "penile fracture", "fracture of penis", "trauma to penis", "rupture of corpora cavernosa", "urethral injury", "urethral rupture" and "urethral reconstruction".
The incidence of urethral lesion in patients with PF varies by geographic region and etiology. Blood in the meatus, hematuria and voiding symptoms are highly indicative of urethral rupture. The diagnosis of PF is eminently clinical and complementary exams are not necessary. The treatment consists of urethral reconstruction and the most common complications found are urethral stenosis and urethrocutaneous fistula.
PF is an uncommon urological emergency, particularly in cases with urethral involvement. Urethral injury should be suspected in the presence of suggestive clinical signs, and diagnosis is usually clinical. Urgent urethral reconstruction is man-datory and produces satisfactory results with low levels of complications.
介绍阴茎骨折（PF）伴尿道损伤的病因、诊断、治疗和结局的演变及最新数据。
我们使用以下关键词在 1998 年至 2019 年期间在 Pubmed 数据库中进行了搜索：“penile fracture”、“fracture of penis”、“trauma to penis”、“rupture of corpora cavernosa”、“urethral injury”、“urethral rupture”和“urethral reconstruction”。
PF 患者尿道损伤的发生率因地理位置和病因而异。尿道口有血、血尿和排尿症状高度提示尿道破裂。PF 的诊断主要依靠临床，不需要辅助检查。治疗包括尿道重建，最常见的并发症是尿道狭窄和尿道皮肤瘘。
PF 是一种罕见的泌尿外科急症，尤其是在伴有尿道损伤的情况下。出现提示性临床体征时应怀疑尿道损伤，诊断通常基于临床。紧急尿道重建是必需的，产生的并发症发生率低，效果满意。
