School Of Medicine, St. George's University, St. George, Grenada.
Department of Urology, University of Tennessee Health Science Center, Memphis, TN.
Urology. 2024 Nov;193:224-229. doi: 10.1016/j.urology.2024.07.045. Epub 2024 Jul 30.
To introduce the Penile Trauma Score (PTS), a new statistically driven classification system aimed at enhancing the management of penile trauma by providing clinically relevant treatment protocols.
A retrospective review was conducted of 34 men with penetrating penile injuries at the Elvis Presley Level 1 Trauma Center, Memphis, from January 2014 to December 2016. Variables assessed included injury mechanism, location, depth, and follow-up outcomes related to voiding and erectile function. Odds ratios were calculated using superficial penile injury as the control group.
Based on physical examination findings and odds ratios calculated, the PTS was developed. Results indicated that higher PTS scores necessitated surgical intervention, while lower scores could be managed nonoperatively. Follow-up showed no missed injuries or reported dysfunctions, validating the PTS's effectiveness.
The PTS represents an important modification in the classification and management of penile trauma. By integrating practical, easily identifiable injury characteristics, the PTS facilitates more streamlined surgical decision-making and potentially reduces unnecessary diagnostic procedures. However, further prospective studies with larger sample sizes and longer follow-up are needed to fully validate the PTS's clinical utility.
介绍阴茎创伤评分（PTS），这是一种新的统计学驱动分类系统，旨在通过提供临床相关的治疗方案来加强阴茎创伤的管理。
对 2014 年 1 月至 2016 年 12 月在孟菲斯的猫王普雷斯利 1 级创伤中心接受穿透性阴茎损伤的 34 名男性进行了回顾性研究。评估的变量包括损伤机制、位置、深度以及与排尿和勃起功能相关的随访结果。使用浅表性阴茎损伤作为对照组计算比值比。
根据体格检查结果和计算的比值比，制定了 PTS。结果表明，较高的 PTS 评分需要手术干预，而较低的评分可以非手术治疗。随访未发现漏诊的损伤或报告的功能障碍，验证了 PTS 的有效性。
PTS 代表了阴茎创伤分类和管理的重要改进。通过整合实用的、易于识别的损伤特征，PTS 促进了更简化的手术决策，并可能减少不必要的诊断程序。然而，需要进一步进行前瞻性研究，以扩大样本量和延长随访时间，以充分验证 PTS 的临床实用性。
