Surgical management and post-operative functional outcomes of patients with a penile fracture-a single centre experience over 10 years.
Ir J Med Sci
; 193(2): 917-920, 2024 Apr.
Article
em En
| MEDLINE
| ID: mdl-37864674
ABSTRACT
BACKGROUND:
Penile fractures are uncommon urological emergencies which occur when there has been a breach in the tunica albuginea of the corpora cavernosum that may be unilateral and bilateral and can extend to involve the urethra.AIM:
To assess the management and outcomes of penile fractures in a single institution in Ireland.METHODS:
A retrospective review of the emergency theatre logbooks was performed between 2011 and 2021 to identify patients who had undergone an exploration for a suspected penile fracture.OUTCOMES:
Seventeen patients were initially identified on review of theatre logbooks as having an exploration for a suspected penile fracture. Two patients were excluded from the study due to a lack of clinical notes being available. A further 4 patients on chart review were found to not have a penile fracture at exploration.RESULTS:
Eleven patients had a confirmed penile fracture intra-operatively, four of whom had an associated urethral injury. Nine (9/11) patients had preserved normal erections post-operatively documented on follow-up; two, however, reported erectile dysfunction requiring phosphodiesterase inhibitors. CLINICAL IMPLICATIONS Our study supports urgent surgical exploration for penile fractures to ensure good functional outcomes. STRENGTHS ANDLIMITATIONS:
This is a retrospective review of theatre logbooks to identify patients with a suspected penile fracture.CONCLUSION:
The results of our cohort show a good outcome of erectile function following surgical repair of a penile fracture (9/11; 82%). Four patients (4/11; 36%) had a urethral injury diagnosed intra-operatively, one of whom required a formal urethroplasty.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Pênis
Limite:
Humans
/
Male
País/Região como assunto:
Europa
Idioma:
En
Revista:
Ir J Med Sci
Ano de publicação:
2024
Tipo de documento:
Article