Aetiology, Evaluation and Management of Penile Fracture: Experience at a Teaching Hospital in Central India
Introduction: Penile fracture is rupture of corpora cavernosa which occurs when the rigid penis is forcibly bent against resistance, leading to the disruption of tunica albuginea. There is classical history and physical examination before reaching upon this diagnosis. Aim: To study the aetiolog...
Main Authors: | , , , |
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Format: | Article |
Language: | English |
Published: |
JCDR Research and Publications Pvt. Ltd.
2020-07-01
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Series: | International Journal of Anatomy Radiology and Surgery |
Subjects: | |
Online Access: | http://www.ijars.net/articles/PDF/2543/44216_final_F(SHU)_CE[Ra1]_SHU_PF1(AG_SHU)_PFA(SHU)_PB(AG_SHU)_PN(SHU)_PFA2(SHU)_PF2(ShG_OM).pdf |
Summary: | Introduction: Penile fracture is rupture of corpora cavernosa
which occurs when the rigid penis is forcibly bent against
resistance, leading to the disruption of tunica albuginea. There
is classical history and physical examination before reaching
upon this diagnosis.
Aim: To study the aetiology, clinical presentation and share the
experience in evaluation and treatment of penile fracture.
Materials and Methods: The retrospective study was carried out
on 26 patients, admitted in surgical facility in SS Medical College
and associated SGM Hospital, Rewa, Madhya Pradesh, India
from January 2014 to December 2018. Patient details like, age,
marital status, aetiology, clinical presentation, time interval from
injury to presentation, investigation done, treatment given and
intraoperative findings were assessed from the hospital records.
Results: The main cause of penile fractures was sexual
intercourse (65.38%) followed by manual manipulation (26.92%).
Ultrasonography (USG) was used for confirmation of diagnosis
with sensitivity and specificity of 87.5% and 100%, respectively.
Surgical exploration and repair of injury was done in all patients.
The unilateral corporal injuries were the most common finding
(76.92%). Urethral injuries were found in 11.53%.
Conclusion: Most of the time diagnosis of penile fracture can
be made reliably by history and physical examination. USG can
be useful adjunct in confirmation of diagnosis and planning of
incision. Early surgical intervention is standard of care, because
it is associated with a good outcome, regardless of the timing
of presentation. |
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ISSN: | 2277-8543 2455-6874 |