PENILE FRACTURE: EXPERIENCE AT AYUB TEACHING HOSPITAL

Authors

  • Raza Muhammad Khan
  • Masud Akhtar Malik
  • Muhammad Jamil
  • Delawar Khan
  • Iftikhar Hussain Shah

Abstract

Background: Penile fracture is a relatively rare traumatic rupture of the tunica albuginea of one orboth corpora cavernosa of an erect penis. It is a real urological emergency which needs earlyassessment and surgical management. Methods: Twelve (12) cases of penile fracture werereviewed from July, 1997 to July, 2007 in the Department of Urology, Ayub Teaching HospitalAbbottabad. All cases presented with classical history of penile fracture and the diagnosis wasmade on the basis of history and clinical examination only. Results: All the patients underwentimmediate surgical repair with well preserved potency and excellent overall results. Conclusion:Penile fracture has typical signs. Standard treatment consists of immediate surgical repair of penilefracture with a low incidence of late complications. Post op complications including urethralstrictures and erectile dysfunction should be ruled out by regular follow-up.Keywords: Penile Fracture, Penis injuries

References

De Giorgi G, Luciani LG, Valotto C, Moro U, Praturlon S,

Zattoni F. Early surgical repair of penile fractures: our

Experience. Arch Ital Urol Androl. 2005;72:103–5.

Paparel P, Ruffion A. Rupture des corps caverneux: aspects

techniques de la prise en charge. Ann Urol 2006; 40: 267–72.

Ishikawa T. Fujisawa M. Tamada H. Inoue T, Shimatani N.

Fracture of the penis: nine cases with evaluation of reported

cases in Japan. Int J Urol. 2003; 10:257–60.

van der Horst C, Martínez Portillo FJ, Bannowsky A, Seif C,

Juenemann KP. Penile fractures: Controversy over surgical

or conservative management. BJU Int 2003;92:349–50.

Tsang T, Demby AM. Penile Fracture with urethral injury. J

Urol 1992;147:466–8

Kaufman RP, Carson CC. Management of testicular trauma.

In Fowler JE, Nyhus LM, Baker RJ eds, Master of Surgery.

Boston: Little Brown, 1992; p. 589–91.

Asgari MA, Hosseini SY, Safarinejad MR, Samadzadh B,

Bardideh AR. Penile fracture: evaluation, therapeutic

approaches and long term results. J Urol 1996;155:148–9.

El-Taher AM, Aboul-Ella HA, Sayed MA, Gaafar AA.

Management of penile fracture. J Trauma 2004;56:1138–40.

El-Bahnasawy MS. Gomha MA. Penile fractures: the

successful outcome of immediate surgical intervention. Int J

Impot Res 2000;12:273–7.

Rao A, Surendrababu NRS: Snap sound and detumescence:

Fracture penis. J Postgrad Med 2007;53:255–6.

Mydlo JH, Hayyeri M, Macchia RJ. Urethrography and

Cavernosography imaging in a small series of penile fracture:

Comparison with surgical finding. Urology 1998;51:616–9.

Choi MH, Kim B, Ryu JA, Lee SW, Lee KS. MR imaging of

acute penile fracture. Radiographics 2000;20:1397–405.

Punelar SV, Kinne JS. Penile fracture. BJU Int 1999;84:183–4.

Fergany AF, Angermeier KW, Montague DK. Review of

Cleveland clinic experience with penile fracture. Urology

;54:352–5.

Published

2008-12-01

Issue

Vol. 20 No. 4 (2008): JOURNAL OF AYUB MEDICAL COLLEGE, ABBOTTABAD

Section

ORIGINAL ARTICLE

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