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阴茎骨折:一家三级医院9例病例分析

Penile fracture: An analysis of 9 cases in a tertiary hospital.

作者信息

Al-Hajjaj Maher, Alali Aljool Ali, Al Husein Hasan

机构信息

Department of Urology, Aleppo University Hospital, Aleppo, Syria.

出版信息

Ann Med Surg (Lond). 2022 Jun 22;79:104028. doi: 10.1016/j.amsu.2022.104028. eCollection 2022 Jul.

Abstract

INTRODUCTION

Penile fracture (PF) is considered a rare condition that requires urgent surgical intervention. It is a result of rupture of the tunica albuginea of the corpus cavernosum.

MATERIALS AND METHODS

We aimed to review the data of nine patients who presented to our hospital between May 2019 and May 2021 with penile fracture diagnosed clinically. Our patients underwent surgical repair. Age, etiology of penile fracture, clinical findings, and side of the defect were analyzed.

RESULTS

The mean age of the patients was 33.3 ± 10.5 years. The most common reason for penile fracture was sexual intercourse. 100% of our patients had penile ecchymosis. All patients underwent surgical exploration. None of them underwent retrograde urethrography. 55.5% of patients had right side defects. The defect was located proximally in six patients (66.6%).

CONCLUSION

Penile fracture is an emergency case in urology. It could be diagnosed clinically most of the time. Early surgical repair can lead to fewer complications and good outcomes.

摘要

引言

阴茎骨折(PF)被认为是一种罕见疾病,需要紧急手术干预。它是阴茎海绵体白膜破裂的结果。

材料与方法

我们旨在回顾2019年5月至2021年5月期间在我院临床诊断为阴茎骨折的9例患者的数据。我们的患者均接受了手术修复。分析了患者的年龄、阴茎骨折的病因、临床表现以及缺损部位。

结果

患者的平均年龄为33.3±10.5岁。阴茎骨折最常见的原因是性交。我们所有患者均有阴茎瘀斑。所有患者均接受了手术探查。他们均未进行逆行尿道造影。55.5%的患者右侧有缺损。6例患者(66.6%)的缺损位于近端。

结论

阴茎骨折是泌尿外科的急症。大多数情况下可通过临床诊断。早期手术修复可减少并发症并取得良好预后。

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