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Fractured Penis: Not So Rare!
Ashwin S Tamhankar1, Prakash W Pawar, Ajit S Sawant
1Department of Urology, LokmanyaTilak Municipal Medical College and General Hospital, Sion, Mumbai, India.
Urologia Internationalis
|May 11, 2017
Summary
Penile fracture requires urgent urological attention. Delayed treatment, often due to lack of patient awareness, can lead to complications like infection and penile curvature.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile fracture is a recognized urological condition.
- Patient awareness regarding the urgency of penile fracture is often lacking.
- This study examines presentation and treatment outcomes.
Purpose of the Study:
- To analyze the various presentations of penile fracture.
- To report on the treatment results for penile fracture.
- To highlight the importance of timely medical intervention.
Main Methods:
- A retrospective review of 21 penile fracture cases over a 5-year period.
- Data collected included mode of injury, patient demographics, time to presentation, management strategies, injury location, urethral status, outcomes, and complications.
- Erectile function was assessed during follow-up.
Main Results:
- The average patient age was 34 years, with a mean delay in presentation of 26 hours.
- Injuries predominantly affected the corpus cavernosum (57.14% right, 42.85% left).
- Two cases involved complete urethral tears; four patients (who presented late) developed complications including wound infections and mild penile curvature.
Conclusions:
- Penile fracture should be managed as a urological emergency.
- Atypical presentations require careful consideration in treatment planning.
- Prompt medical attention is crucial to minimize complications.
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