Penile Injury During Erection: The Clinical Manifestations and Results of Operative Treatment / 대한비뇨기과학회지

This study was designed to evaluate the clinical manifestations and results of operative treatment in penile injury during erection. We reviewed 18 cases of penile injury during erection from December 1992 to June 1996. Of 18 patients, 14 patients were treated with early operation, 3 patients with conservative treatment and followup was 1 to 31 months (mean: 14.1 months). Patients age ranged from 23-76 years old (mean: 39.6 years), common cause of the injury was sexual intercourse (8 cases), masturbation (3 cases) and finger-pressure (2 cases) in order. Of 8 patients who occurred during sexual intercourse, 7 patients were married. The injury developed at midnight in 8 cases (44%), early morning in 7 cases (39%) and the other times in 3 cases (~7%). Of 14 patients who received with early operation, 13 patients revealed rapture of the corpus cavernosum and 1 patient revealed rupture of superficial dorsal vein. The site of penile fracture showed proximal shaft in 8 cases (62%), midshaft in 3 cases (23%) and distal shaft in 2 cases (15%) in order. The overall complication rate of early operative treatment was 15% (2 of 13 cases) compared to a complication rate of 100% (2 of 2 cases) for conservative treatment. In conclusion, our experience demonstrates that the most common cause and site of penile injury are sexual intercourse and proximal shaft, early operative treatment would be an effective treatment of penile injury to prevent complications.

Repair of Transected Penis and Perineal Injury Using Gracilis and Tensor Fascia Lata Myocutaneous Flap / 대한비뇨기과학회지

This is a case report on the plastic repair of the transected penis using a gracilis muscle flap with overlying full thickness skin graft and split thickness skin graft for protruding the isolated penis and the reconstruction of an extensively traumatized soft tissue defect of perineum and upper inner thigh using tensor fascia lata myocutaneous flap which have complete circulation and innervation.

A Case of Penile Injury (Accidental Rupture of Corpus Cavernosum) / 대한비뇨기과학회지

One patient is described with severe injury to the penis sustained during sexual intercourse and reviewed the literature. The patient was 28 years old with chief complaints of painful swelling, hematoma, discoloration, detumescence of penis. This patient was performed physical examination, urinalysis, retrograde urethrogram, corpora carvernosogram in order to know location of ruptured corpus cavernosum and urethral injury. Under the diagnosis of rupture of corpus cavernosum, the authors were performed immediate exploration with suture closure of the defect. The postoperative was not occurred.