Objectives: Assessment of penile fracture etiology, immediate surgical treatment and pos-toperative complications retrospectively.
Material and Methods: In this study, betwe-en May 2006 and May 2013 possible follow-up 46 patients, have treated with emergency surgery, were evaluated retrospectively. In all patients, the diagnosis was made by history and physical exa-mination. And did not need additional imaging techniques. Patients were included in the opera-tion no later than 4 hours after the examination in emergency department. In all of them, penis skin opened with subcoronal circumcision incisi-on and lasarations of tunica were fixed primarily with 3/0 vicryl suture. In addition, patients with urethral defect were primarily fixed with foley catheter guidance.
Results: The average age of the patients was 33,2±9,4. The average length of hospital admissi-ons of patients after fracture changes in 4,97±0,31 hours. The most common etiologic cause was fo-und to be during sexual intercourse in 22 of 46 cases. The mean size of the defect was measu-red as 1.75 ± 0.62 cm in patients who went to an emergency operation. In 4 of 46 cases,in addition to penil fracture was accompanied by a urethral defect. Patients were recalled to control at the 3rd, 6th, and 12th months after the operation. None of the patients had penile deformity. The avara-ge IIEF-5 scors were 22,6±0,79 at 6th and 12th months after the operation. In 4 patient who had urethral defect there was no urethral stricture.
Result:Penile fracture is a rare urological emergency that can be easily diagnosed with the typical physical examination and me-dical history. Patients should be quickly assessed and as soon as possible, should be operated. After emergency surgery the early and late results are pretty good.
Key Words: Penis, fracture, urethra
Abstract
Objectives: Assessment of penile fracture etiology, immediate surgical treatment and pos-toperative complications retrospectively.
Material and Methods: In this study, betwe-en May 2006 and May 2013 possible follow-up 46 patients, have treated with emergency surgery, were evaluated retrospectively. In all patients, the diagnosis was made by history and physical exa-mination. And did not need additional imaging techniques. Patients were included in the opera-tion no later than 4 hours after the examination in emergency department. In all of them, penis skin opened with subcoronal circumcision incisi-on and lasarations of tunica were fixed primarily with 3/0 vicryl suture. In addition, patients with urethral defect were primarily fixed with foley catheter guidance.
Results: The average age of the patients was 33,2±9,4. The average length of hospital admissi-ons of patients after fracture changes in 4,97±0,31 hours. The most common etiologic cause was fo-und to be during sexual intercourse in 22 of 46 cases. The mean size of the defect was measu-red as 1.75 ± 0.62 cm in patients who went to an emergency operation. In 4 of 46 cases,in addition to penil fracture was accompanied by a urethral defect. Patients were recalled to control at the 3rd, 6th, and 12th months after the operation. None of the patients had penile deformity. The avara-ge IIEF-5 scors were 22,6±0,79 at 6th and 12th months after the operation. In 4 patient who had urethral defect there was no urethral stricture.
Result:Penile fracture is a rare urological emergency that can be easily diagnosed with the typical physical examination and me-dical history. Patients should be quickly assessed and as soon as possible, should be operated. After emergency surgery the early and late results are pretty good.
Key Words: Penis, fracture, urethra