Nouri M, Koutani A, Tazi K, el Khadir K, Ibn Attya A, Hachimi M, Lakrissa A
Clinique Urologique B, CHU Ibn Sina, Rabat, Maroc.
Prog Urol. 1998 Sep;8(4):542-7.
To review the diagnostic and epidemiological aspects and especially to demonstrate the value of emergency surgical treatment.
In 8 years (1989-1996), 56 fractures of the penis in 55 patients were surgically repaired as an emergency procedure immediately after admission. The skin incision was often elective and longitudinal. After evacuation of the haematoma, the fracture was sutured with slowly resorbed suture material. The presence of a concomitant urethral lesion was systematically investigated and repaired.
The mean age was 30 years, and 72.75% of patients were unmarried men. The mean operating time was 40 min and the mean hospital stay was 1.5 days. The immediate postoperative course was always favourable. In 36 long-term evaluable patients, sexual activity was resumed with no difficulties of erection or intromission. No case of chordee of the penis was observed, but two patients presented a cicatricial nodule.
Fracture of the penis is a rare disease and is diagnosed clinically. Emergency surgical treatment is the only guarantee of a good functional prognosis.
回顾阴茎骨折的诊断及流行病学方面，尤其展示急诊手术治疗的价值。
在8年（1989 - 1996年）间，55例患者的56处阴茎骨折在入院后立即作为急诊手术进行修复。皮肤切口常为选择性纵行切口。血肿清除后，用可缓慢吸收的缝线材料缝合骨折处。系统检查并修复是否存在合并尿道损伤。
平均年龄为30岁，72.75%的患者为未婚男性。平均手术时间为40分钟，平均住院时间为1.5天。术后即刻病程总是良好的。在36例可进行长期评估的患者中，恢复性活动时勃起或插入均无困难。未观察到阴茎下弯病例，但有2例患者出现瘢痕性结节。
阴茎骨折是一种罕见疾病，通过临床诊断。急诊手术治疗是功能预后良好的唯一保证。
