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Urethral injury in penile fracture: a narrative review
Barros, Rodrigo; Ribeiro, José Genilson Alves; Silva, Heleno Augusto Moreira da; Sá, Flávio Rondinelli de; Fosse Júnior, Angelo Maurilio; Favorito, Luciano A.
  • Barros, Rodrigo; Universidade Federal Fluminense. Departamento de Urologia. Niterói. BR
  • Ribeiro, José Genilson Alves; Universidade Federal Fluminense. Departamento de Urologia. Niterói. BR
  • Silva, Heleno Augusto Moreira da; Universidade Federal Fluminense. Departamento de Urologia. Niterói. BR
  • Sá, Flávio Rondinelli de; Universidade Federal Fluminense. Departamento de Urologia. Niterói. BR
  • Fosse Júnior, Angelo Maurilio; Universidade Federal Fluminense. Departamento de Urologia. Niterói. BR
  • Favorito, Luciano A; Universidade Estadual do Rio de Janeiro. Unidade de Pesquisa Urogenital. Rio de Janeiro. BR
Int. braz. j. urol ; 46(2): 152-157, Mar.-Apr. 2020. tab, graf
Article in English | LILACS | ID: biblio-1090594
Responsible library: BR1.1
ABSTRACT
ABSTRACT Objective To present the evolution and the recent data on the etiology, diagnosis, management and outcomes of penile fracture (PF) with concomitant urethral injury. Materials and Methods We searched the Pubmed database between 1998 and 2019 using the following key words "penile fracture", "fracture of penis", "trauma to penis", "rupture of corpora cavernosa", "urethral injury", "urethral rupture" and "urethral reconstruction". Results The incidence of urethral lesion in patients with PF varies by geographic region and etiology. Blood in the meatus, hematuria and voiding symptoms are highly indicative of urethral rupture. The diagnosis of PF is eminently clinical and complementary exams are not necessary. The treatment consists of urethral reconstruction and the most common complications found are urethral stenosis and urethrocutaneous fistula. Conclusion PF is an uncommon urological emergency, particularly in cases with urethral involvement. Urethral injury should be suspected in the presence of suggestive clinical signs, and diagnosis is usually clinical. Urgent urethral reconstruction is mandatory and produces satisfactory results with low levels of complications.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Penile Diseases / Penis / Urethra / Urethral Diseases Limits: Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Estadual do Rio de Janeiro/BR / Universidade Federal Fluminense/BR

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Full text: Available Index: LILACS (Americas) Main subject: Penile Diseases / Penis / Urethra / Urethral Diseases Limits: Humans / Male Language: English Journal: Int. braz. j. urol Journal subject: Urology Year: 2020 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade Estadual do Rio de Janeiro/BR / Universidade Federal Fluminense/BR