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Penile fracture: differential diagnosis, management and outcome
Author(s) -
Karadeniz T.,
Topsakal M.,
Arýman A.,
Erton H.,
Basak D.
Publication year - 1996
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1046/j.1464-410x.1996.86420.x
Subject(s) - medicine , penile fracture , surgery , radiological weapon , penis , adverse effect
Objective To determine the value of a diagnostic and therapeutic approach for patients presenting with acute penis and the effects of this management on the outcome. Patients and methods The study comprises 21 consecutive patients (mean age 33.3 years, range 19–53) who presented with acute penis (acute pain and swelling during and soon after intercourse). The mean interval between the accident and the treatment was 6 h (range 2–20). All patients initially underwent cavernosography, followed by surgical exploration. Results Cavernosography showed extravasation of the contrast medium, indicating a corporal tear, in 19 of 21 patients. Surgical exploration revealed rupture of the deep dorsal vein in two patients whose radiological examinations were normal. In the remaining 19 patients, corporeal tears were repaired. The mean follow‐up was 26.7 months; all patients regained penile function (potency). Penile curvature was the only adverse effect in three of the 21 patients, all of whom presented for medical treatment relatively late after the initial accident. Conclusion In the management of the acute penis, cavernosography should be performed first and the treatment policy should be determined from the radiological findings. Conservative therapy should be chosen only when the corporeal bodies are intact.