Turkmen Nihat, Kutsal Cemil, Yavuzsan Abdullah H, Kirecci Sinan L
Urology, University of Health Sciences, Sisli Hamidiye Etfal Training and Research Hospital, Istanbul, TUR.
Cureus. 2023 Jun 2;15(6):e39857. doi: 10.7759/cureus.39857. eCollection 2023 Jun.
Although there are some reports describing foreign body implantation into the penis by intentional manipulation, no records about patients got aware of it many years after traffic accidents. A 29-year-old male patient had been severely injured in a traffic accident 13 years ago. Following a coma state for several months, he had no any symptom for a long time. Four years later, he got aware of the inconvenience on the ventral side of his penis during erection. His partner had also complained of pain during coitus. When he was admitted to our clinic, there was a semi-mobile, fibrous dense 2x2 cm knob on the ventral side of the penis consisting of a coronal sulcus. Under local anesthesia, we got out of a piece of glass. He was discharged after enough follow-up periods without complication. The interesting point of this case was not the clinical condition of the patient; it was that no one could consider a coma patient would have a complaint of penis injury several years later. This case showed us, one more time, how important the complete physical examination was.
虽然有一些报告描述了通过故意操作将异物植入阴茎的情况，但没有关于患者在交通事故多年后才意识到此事的记录。一名29岁男性患者13年前在一次交通事故中受重伤。在昏迷数月后，他很长一段时间没有任何症状。四年后，他在勃起时意识到阴茎腹侧有不便。他的伴侣也抱怨性交时疼痛。当他入住我们诊所时，阴茎腹侧有一个位于冠状沟处的2×2厘米大小的半活动、纤维致密的肿块。在局部麻醉下，我们取出了一块玻璃。经过足够的随访期后他出院，无并发症。该病例的有趣之处不在于患者的临床状况；而是没有人会想到一名昏迷患者在几年后会抱怨阴茎受伤。这个病例再次向我们表明了全面体格检查的重要性。
