[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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Autor principal: Prasad Mylarappa
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Lenguaje:EN
Publicado: Taylor & Francis Group 2018
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Acceso en línea:https://doaj.org/article/cfed2c14aa254c1a8615a20913006c27
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spelling oai:doaj.org-article:cfed2c14aa254c1a8615a20913006c272021-12-02T12:02:03Z[56] Penile fracture with urethral injury: Experience in a tertiary care hospital2090-598X10.1016/j.aju.2018.10.009https://doaj.org/article/cfed2c14aa254c1a8615a20913006c272018-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S2090598X18301037https://doaj.org/toc/2090-598XObjective: 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.Prasad MylarappaTaylor & Francis GrouparticleDiseases of the genitourinary system. UrologyRC870-923ENArab Journal of Urology, Vol 16, Iss , Pp S27-S28 (2018)
institution DOAJ
collection DOAJ
language EN
topic Diseases of the genitourinary system. Urology
RC870-923
spellingShingle Diseases of the genitourinary system. Urology
RC870-923
Prasad Mylarappa
[56] Penile fracture with urethral injury: Experience in a tertiary care hospital
description 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.
format article
author Prasad Mylarappa
author_facet Prasad Mylarappa
author_sort Prasad Mylarappa
title [56] Penile fracture with urethral injury: Experience in a tertiary care hospital
title_short [56] Penile fracture with urethral injury: Experience in a tertiary care hospital
title_full [56] Penile fracture with urethral injury: Experience in a tertiary care hospital
title_fullStr [56] Penile fracture with urethral injury: Experience in a tertiary care hospital
title_full_unstemmed [56] Penile fracture with urethral injury: Experience in a tertiary care hospital
title_sort [56] penile fracture with urethral injury: experience in a tertiary care hospital
publisher Taylor & Francis Group
publishDate 2018
url https://doaj.org/article/cfed2c14aa254c1a8615a20913006c27
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