What is the best Treatment of Penile Fractures? Conservative or Surgical?: Experience in 34 cases / 대한남성과학회지
Korean Journal of Andrology
;
: 22-27, 2010.
Article
in English
| WPRIM
| ID: wpr-11405
ABSTRACT
PURPOSE:
Penile fracture is described as a traumatic rupture of the tunica albuginea because of blunt injury of an erect penis. In this study, we aimed to compare conservative and surgical treatment modalities. MATERIALS ANDMETHODS:
We retrospectively reviewed the medical records of 34 patients who visited our hospital with penile fracture and two treatment modalities were compared conservative (Group I) and surgical (Group II). The five men who refused surgical treatment were treated conservatively, and the other 29 patients underwent surgical treatment.RESULTS:
The most common cause of fracture was sexual intercourse (21/34, 61.8%). The most common sites of fracture were the right (67.6%), ventral (67.6%), and proximal (47.1%) parts of the penis. In Group II, only complication was painful erection (2/29, 6.9%), whereas in group I, 80% (4/5) suffered complications such as wound infection, painful erection, penile nodules with curvature, and erectile dysfunction. All patients treated with surgery successfully recovered without erectile dysfunction.CONCLUSIONS:
Because surgical management gives excellent results, shorter hospitalization, less morbidity, surgical treatment is more effective approach than conservative treatment.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Penis
/
Rupture
/
Urologic Surgical Procedures, Male
/
Wound Infection
/
Wounds, Nonpenetrating
/
Penile Erection
/
Medical Records
/
Retrospective Studies
/
Coitus
/
Hospitalization
Type of study:
Observational study
Limits:
Humans
/
Male
Language:
English
Journal:
Korean Journal of Andrology
Year:
2010
Type:
Article
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