We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Penile fracture -- A surgical emergency: clinical presentation and surgical management.
- Authors
Jamil, Muhammad; Saeed, Muhammad; Usman, Rashid
- Abstract
Objectives: To highlight the management of patients with fracture of penis (FP) in terms of aetiology, clinical presentation, diagnosis, treatment and outcome. Patients and Methods: Th is prospective observational sthudy conducted at Combined Military Hospital (CMH) Lahore and Peshawar from January 2013 to January 2017, included all patients with fracture of penis. Th e data was analysed for etiology, mechanism, clinical presentation, treatment and complications. Results: A total of 36 patients aged 16 to 58 (Mean 28 ± SD 2.5) years had fracture of penis. 83.3% patients presented early (within 6 hours of injury). Th e most common mechanism was aggressive manipulation of erect penis during masturbation (55.5%). Sudden swelling in all patients followed by rapid detumescence (88.8%) and popping sound (88.8%) were most common symptoms. All patients under-went surgical repair. Th e tear was on right side in 61.1% and on left in 38.9% cases. Mean Hospital stay was 3±SD 1 days. Th ere was no urethral injury. Palpable nodule was found in 11.1% which resolved spontaneously. Th ere was no residual deformity although 8.3% patients had Erectile Dysfunction (ED) of mild category. Conclusion: Fracture of penis is a clinical diagnosis but ultrasonography is helpful. Early surgical repair gives good functional results and fewer long term complications.
- Subjects
PENIS; SURGICAL emergencies; FRACTURE fixation; ETIOLOGY of diseases; SURGICAL complications; SCIENTIFIC observation; WOUNDS &; injuries
- Publication
Pakistan Journal of Surgery, 2017, Vol 33, Issue 4, p259
- ISSN
0258-8552
- Publication type
Article