Penile fracture: 11 years' experience

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dc.authorscopusid7005217561
dc.authorscopusid57210681380
dc.authorscopusid6603043776
dc.authorscopusid7801381155
dc.authorscopusid6602283957
dc.contributor.authorSoylu A.
dc.contributor.authorGüneş A.
dc.contributor.authorU?raş M.Y.
dc.contributor.authorIpek D.
dc.contributor.authorBaydinç C.
dc.date.accessioned2024-08-04T20:01:04Z
dc.date.available2024-08-04T20:01:04Z
dc.date.issued2003
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjectives: Penile fracture is the rupture of the tunica albuginea of one or both corpora cavernosa due to direct trauma to the erected penis. Partial or complete rupture of the urethra or injury to the deep dorsal vein may accompany to penile fracture. In this study, we present our clinical experience in 15 patients presented with penile fracture between 1992 and 2003. Material and Methods: Fourteen of the cases applied in the first 24 hours and all has undergone emergency surgery. One case applied six months after the fracture of his penis. Of the patients 9 had right, 4 had left and one had both cavernosal tunical ruptures, with defects of 1 to 2.5 cm in length. Patient with bilateral injury had accompanying complete urethral rupture. One patient had deep dorsal vein rupture. Defects of corpora cavernosa was repaired by interrupted 2/0 vicryl sutures. Tension-free end-to-end anostomosis with 4/0 vicryl sutures was performed for complete urethral rupture, after releasing both ends. Ruptured deep dorsal vein was ligated at both ends with 2/0 vicryl. Results: The patients were aged between 19 and 72 (mean: 36.2 years). Of the cases, 14 have applied within 2 to 13 hours from the rupture and one after 6 months. Seven (46.7%) of the fractures was due to penile straightening or bending by hand, 4 (26.7%) due to sexual intercourse, 2 (13.3%) due to turning on or failing from the bed, 1 (6.7%) due to a child fallen on to the penis while joking, and 1 (6.7%) due to slamming by door. The patient who applied 6 months after the fracture got the diagnosis of impulse control disorder with psychiatry consultation. As postoperative complications, two patients had decreased quality of erections; three had painful erections and two had premature ejaculation. Patient who has not undergone emergency surgical correction due to late application had painful erection with penile deviation. Conclusion: Urethral rupture is usually partial and only seldomly complete among the patients. Among the penile fracture cases from our country, 2.5% had accompanying incomplete urethral rupture. At first, conservative methods like cold applications, antiinflammatory drugs and suppression of erection have been preferred for penile fracture treatment. Recently, early surgical repair of corpora cavernosa that decreases complication rates are being applied. Cases of penile fracture are more common and are increasing in number in our country when compared to cases worldwide. It is important to have knowledge on diagnosis and treatment. According to our experience of 11 years, emergency surgery is the efficient method of treatment to prevent postoperative complications.en_US
dc.identifier.endpage350en_US
dc.identifier.issn1300-5804
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-0141483570en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage344en_US
dc.identifier.urihttps://hdl.handle.net/11616/91234
dc.identifier.volume29en_US
dc.indekslendigikaynakScopusen_US
dc.language.isotren_US
dc.relation.ispartofTurk Uroloji Dergisien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFractureen_US
dc.subjectPenisen_US
dc.subjectUretral ruptureen_US
dc.titlePenile fracture: 11 years' experienceen_US
dc.title.alternativePenil fraktür: 11 yillik deneyimen_US
dc.typeArticleen_US

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