Penile fracture: preoperative evaluation and surgical technique for optimal patient outcome

BJU International
Ciamack KamdarFrederick A Gulmi

Abstract

To review the preoperative diagnostic evaluation and surgical treatment of penile fracture, as the condition is a urological emergency that requires immediate surgical exploration and repair. Between January 2003 and October 2007 eight patients presented to the emergency department with penile fracture after sexual intercourse. The clinical presentation, preoperative evaluation and imaging, surgical technique, and postoperative care were assessed to determine the optimal patient outcome. Seven of the eight patients were treated surgically and one refused surgical intervention. Four cases involved unilateral corporal injury, two involved unilateral corporal injury with an associated urethral injury, and one involved bilateral corporal injury with an associated urethral injury. Although retrograde urethrogram were taken of all three urethral injuries, none of them revealed the injury. Diagnostic cavernosography or magnetic resonance imaging were not used in any of the patients. No complications occurred in the patients treated surgically. Preoperative imaging should not delay surgical repair. If an associated urethral injury is suspected, flexible cystoscopy is recommended in the operating room, as opposed to a retrograde urethro...Continue Reading

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Citations

Jun 8, 2011·Current Urology Reports·Giulio GaraffaDavid John Ralph
Apr 2, 2013·Asian Journal of Andrology·Brian A ParsonsRaj A Persad
Aug 13, 2011·International Journal of Impotence Research·A El-AssmyE H I Ibrahiem
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Mar 29, 2011·Urology·Ahmed el-Assmyel-Housseiny I Ibrahiem

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