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[Ambulatory treatment of penile fracture at teaching hospital in Lomé]
R A Gayito Adagba1, M S Agbedey1, K Tengue1
1Service des urgences chirurgicales et service d'urologie-andrologie du centre hospitalier universitaire Sylvanus Olympio de Lomé, Lomé, Togo.
Objectives:
To study the feasibility of outpatient management of fractures of the penis and to identify factors that promote their occurrence.
Materials And Method:
This were a prospective, monocentric study of patients who received emergency treatment for fractured penises. It took place from January 2016 to January 2019. The data analyzed were circumstances of occurrence, time elapsed before management, clinic, type of anesthesia, functional outcomes (assessment based on IIEF5 questionnaire) and complications.
Results:
Seven cases were recorded. The average age of the patients was 35 years. The diagnosis was clinical and surgical treatment in all our patients. Management was outpatient in 6 patients. Sexual function was normal in six patients with an IIEF-5≥21 with a normal erection and no pain at intromission. No complications were objectified.
Conclusion:
Emergency surgical management of patients with clinical and confirmed per-operative penis fractures may be outpatient without negative impact on functional outcomes and regardless of the cause of fracture.
Level Of Evidence:
3.
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