[56] Penile fracture with urethral injury: Experience in a tertiary care hospital
Objective: To present our experience in treating 12 cases of penile fracture with urethral injury. Penile fracture is a rare urological emergency that always requires immediate attention and it can be associated with urethral trauma in 9–20% of cases. Methods: This was a prospective observational st...
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| Formato: | article |
| Lenguaje: | EN |
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Taylor & Francis Group
2018
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| Acceso en línea: | https://doaj.org/article/cfed2c14aa254c1a8615a20913006c27 |
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| Sumario: | Objective: To present our experience in treating 12 cases of penile fracture with urethral injury. Penile fracture is a rare urological emergency that always requires immediate attention and it can be associated with urethral trauma in 9–20% of cases. Methods: This was a prospective observational study extending from January 2000 to December 2016. Each patient with penile fracture underwent a thorough clinical evaluation and received appropriate treatment. Results: In all, 75 patients with penile fracture, with a mean range age of 31.5 (25–36) years were evaluated. Sexual intercourse was the common mechanism of injury in most of the patients. In 12 patients there was associated urethral injury. All the patients were diagnosed after taking a full history and clinical examination. All patients underwent emergency surgical exploration. All the patients had ⩾1 year of follow-up, and were evaluated with local examination, uroflowmetry and colour Doppler ultrasonography. Conclusion: Penile fracture is associated with urethral injury, especially in the presence of a suggestive history and physical examination, e.g. acute urinary retention and bleeding per urethra. Immediate primary surgical management of both the penile fracture and urethral injury is a safe and effective option with minimal complications. |
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