Ugwu B T, Yiltok S J, Uba A F, Abdulmajid U F
Department of Surgery, Jos University Teaching Hospital, Nigeria.
Cent Afr J Med. 1998 Apr;44(4):107-9.
A case of a 37 years old veterinary surgeon who sustained right sided fracture of the base of the penis during masturbation is presented. He was seen more than 48 hours after his injury with the typical painful swelling, angulation and tenderness at the fracture site. The tear was promptly repaired using the Laubscher's subcoronal sleeve technique. He regained his ability to achieve erection on the third post operative day. This is a rare injury on the Jos Plateau--being the only documented case in 11 years in this tertiary health facility and so we consider it necessary to highlight salient points in the diagnosis and treatment. Psychotherapy was found very useful in this patient in order to wean his off masturbation especially during the immediate post operative period. His short term follow up has been uneventful; he is now able to achieve normal and straight erection and sexual intercourse without pain--a view corroborated by his wife.
本文报告一例37岁兽医外科医生在自慰时阴茎根部右侧骨折的病例。受伤48小时后他前来就诊，骨折部位有典型的疼痛性肿胀、成角和压痛。采用劳布舍尔冠状沟下袖套技术迅速修复撕裂处。术后第三天他恢复了勃起能力。这是乔斯高原地区的一种罕见损伤——是该三级医疗机构11年来唯一有记录的病例，因此我们认为有必要强调诊断和治疗中的要点。发现心理治疗对该患者非常有用，尤其是在术后即刻，有助于他戒除自慰。他的短期随访情况良好；他现在能够实现正常且笔直的勃起以及无痛性交——他妻子也证实了这一点。
