Sharma Gaurav, Mandal Soumendranath, Bhowmik Prasenjit, Gupta Prashant, Bahal Bandhan, Sharma Pramod Kumar
Department of Urology, Calcutta National Medical College & Hospital, Kolkata, India.
Turk J Urol. 2021 Mar;47(2):106-112. doi: 10.5152/tud.2020.20311. Epub 2020 Oct 9.
To determine the erectile dysfunction (ED), overall sexual function, and risk factors for developing ED after surgical repair of penile fracture.
This was an ambispective observational study conducted from September 2014 to August 2019, which included 68 patients with a clinical diagnosis of penile fracture. The clinical presentation, etiology, and surgical details were recorded. Patients were contacted via telephone and called for follow-up. Their sexual function was objectively recorded using the sexual health inventory for men questionnaire, erection hardness grading scale, and the brief male sexual function inventory (BMSFI). Patients were categorized in 2 groups on the basis of ED. These 2 groups were compared on the basis of preoperative and intraoperative factors to determine the predictors of postoperative ED.
The mean age at presentation was 33.64±9.46 (range, 19-54) years. The most common mode of injury was injury during the sexual intercourse (78%). All the patients underwent surgical exploration through subcoronal degloving incision. On follow-up, 7 patients (11.3%) developed ED (mild ED, 5 patients; mild-to-moderate ED, 2 patients). Per BMSFI, 58 (93.5%) patients had no bothersome issues with their sexual life, and they were mostly satisfied. The significant risk factors for ED were age >50 years and bilateral corporal involvement.
Penile fracture is a true urological emergency, and prompt diagnosis by clinical acumen and emergent surgical exploration provide good functional results with low morbidity. The main predictors of postsurgical ED are increasing age (>50 years) and bilateral corporal involvement.
确定阴茎骨折手术修复后勃起功能障碍（ED）、整体性功能及发生ED的危险因素。
这是一项于2014年9月至2019年8月进行的双向观察性研究，纳入68例临床诊断为阴茎骨折的患者。记录临床表现、病因及手术细节。通过电话联系患者并要求其进行随访。使用男性性健康问卷、勃起硬度分级量表及简短男性性功能量表（BMSFI）客观记录他们的性功能。根据ED情况将患者分为两组。基于术前和术中因素对这两组进行比较，以确定术后ED的预测因素。
就诊时的平均年龄为33.64±9.46（范围19 - 54）岁。最常见的受伤方式是性交时受伤（78%）。所有患者均通过冠状沟下脱套切口进行手术探查。随访时，7例患者（11.3%）发生ED（轻度ED，5例；轻度至中度ED，2例）。根据BMSFI，58例（93.5%）患者性生活无困扰问题，且大多表示满意。ED的显著危险因素为年龄>50岁和双侧阴茎海绵体受累。
阴茎骨折是真正的泌尿外科急症，凭借临床敏锐度进行快速诊断及紧急手术探查可获得良好的功能结果且发病率低。术后ED的主要预测因素是年龄增加（>50岁）和双侧阴茎海绵体受累。
