1. [Surgical treatment of penil fractures]
- Author
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Hakan, Kiliçarslan, Gökhan, Gökçe, Kemal, Kaya, Semih, Ayan, and Yener E, Gültekin
- Subjects
Adult ,Male ,Rupture ,Postoperative Complications ,Adolescent ,Turkey ,Urethra ,Humans ,Middle Aged ,Wounds, Nonpenetrating ,Medical Records ,Penis ,Retrospective Studies - Abstract
Patients diagnosis as penil fracture and treated with surgical methods were evaluated retrospectively between January 1990-February 2002.Patients were evaluated by age, trauma type, time passed after the trauma, physical examination and radiologic data.The cause of trauma was blunt trauma in all patients. 14 trauma (60.8%) were during sexual activity, 6 trauma (26%) were during handling the erective penis in morning erection, 3 of trauma (13%) were due to the rolling on to the penis. Urethral bleeding was seen in 1 patient and microscopic hematuria was detected in 5 patients. Subcoronal circular incision was carried out in 16 patients (69.5%), semicircular incision was done directly on the injury in 6 patients (26%) and from penis radix to scrotum was done in 1 patient (4.3%). There was unilateral corpus cavernosum injury in 21 patients. Bilateral corpus cavernosum injury in 1 patient, corpuscavernosum, corpus spongiosum and incomplent urethral injury in 1 patient. Wound infection was detected only in 2 patients at postoperatively early period. After evaluating 20 patients with medical history and physical examination in postoperative control penil curvature permitting sexual activity was detected in 3 patients.We concluded that patients with penil fracture may be treated with low complication rate by early surgical procedure.
- Published
- 2003