Surgical repair and analysis of penile fracture complications.

Abstract:

BACKGROUND:The objective of this study is to describe and analyze the experience over a period of 10 years at our center through a retrospective study of a series of diagnosed and treated cases of penile fracture. MATERIAL AND METHODS:From 2005 to 2009 the Urology Department of the Hospital Clínico San Carlos of Madrid carried out a retrospective case study of a total of 15 cases of penile fracture. The diagnosis was reached through physical exploration of the patient aided by a penile ultrasound; the immediate treatment performed on the patients was emergency surgical repair. RESULTS:From the total in the series (n = 15), only 1 case was associated with a complete urethral fracture (6.6%). Surgical repair was performed in all cases; the average hospital stay was 2.6 days (range 1-5), and the most frequent long-term complication was erectile dysfunction in 3 of 15 cases (20%). CONCLUSIONS:A penis fracture diagnosis is mostly clinical; complementary tests, such as ultrasound, are helpful but not definitive. Surgical treatment consists of an incision that allows adequate exposure of the corpora cavernosa and urethra to repair the suspected lesions found upon diagnosis. Ambulatory follow-up is essential to diagnose and treat possible complications.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Moreno Sierra J,Garde Garcia H,Fernandez Perez C,Galante Romo I,Chavez Roa C,Senovilla Perez JL,Silmi Moyano A

doi

10.1159/000324249

subject

Has Abstract

pub_date

2011-01-01 00:00:00

pages

439-43

issue

4

eissn

0042-1138

issn

1423-0399

pii

000324249

journal_volume

86

pub_type

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