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Microscopic Electric Rotary Grinding of Plaques Combined with Graft Repair in the Management of Peyronie's Disease

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Penile fracture: presentation and management.

Haq Nawaz¹, Masha Khan, Faiz Muhammed Tareen

¹Department of Urology and Transplantation, Civil Hospital, Quetta. haqnawaz38@hotmail.com

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP

|July 21, 2010

Summary

Penile fracture, often caused by manipulation or sexual activity, presents with pain and swelling. Surgical repair of tunical and urethral injuries effectively preserves sexual and voiding functions in most patients.

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Area of Science:

Urology
Trauma Surgery
Sexual Medicine

Background:

Penile fracture is a rare but serious urological emergency.
Prompt diagnosis and surgical intervention are crucial for optimal outcomes.

Purpose of the Study:

To evaluate the clinical presentation of penile fracture.
To assess therapeutic options and treatment outcomes.
To determine the efficacy of surgical repair in preserving sexual and voiding functions.

Main Methods:

A case series of 137 patients with penile fracture admitted between March 1995 and March 2009.
Detailed history and physical examination were performed.
Immediate surgical exploration, debridement, and primary repair of tunica albuginea and urethral tears were conducted.

Main Results:

The mean age of patients was 25 years, with common causes including manipulation and sexual activity.
The typical presentation involved a snapping sound, pain, detumescence, and hematoma.
Surgical repair resulted in a low complication rate (5.10%) and successful preservation of erectile and voiding functions in 64.96% of follow-up patients.

Conclusions:

Penile fracture commonly presents with a distinct clinical picture.
Surgical repair is the standard treatment, aiming to prevent complications and maintain functional outcomes.
The study demonstrates satisfactory achievement of both sexual and voiding functions post-operatively.