Table 2: Site and direction of rent in patients who had surgical intervention Size of rent ranged from 0.4 to 3 centimeters. Three patients refused surgery and two patients reported more than 7 days after trauma was inflicted. Out of 57 patients, 5 patients were managed conservatively and 52 had surgical intervention. Table 1: Various clinical parameters in patients with fracture penis One patient presented on 9th day and another on 13th day. The interval from injury to presentation was between 4 hours and the 13th day. Two had after two had post sildenafil use. Trauma occurred to erect penis in all cases of penile fracture, this constant findings was noted. Patients had follow up from 4 to 7 months.Ī total number of 57 patients were diagnosed with penis fracture. All patients were discharged with advice of avoidance of sex for 6-8 weeks. Postoperatively erection was suppressed for 2-3 days. Surgery involved a subglanular degloving incision, recording of rent location and dimensions, evacuation of clots, and closure of rent with non absorbable sutures and in selected cases use of glow drain. All patients, had surgery on the same day. No invasive investigation was used for diagnosis of fracture of penis. 3 The main aim of this retrospective study was to record the clinical presentation and treatment in patients diagnosed with fractured penises.Īll patients admitted to Shri Maharaja Hari Singh (S.M.H.S) Hospital, Srinagar, over a period of 7 years, from March 2000 to March 2007 with diagnosis of a fractured penis were included in this retrospective study.Medical records of all these patients were studied retrospectively and data was recorded on predesigned proforma. 2 Many conditions can simulate fracture penis as dorsal vein tears in penis may mimic penile fracture. 1 The need for immediate surgery is emphasized, in order to avoid erectile failure and curvature, which are typical complications of conservative treatment. Penile fracture is an entity of eminently clinical diagnosis, therefore the management of a penile fracture should not include any further investigation other than surgical exploration. Structural anomalies could alter the mechanical properties of the tunica albuginea, representing a weakening factor of the corpora cavernosa and thus a predisposing factor for traumatic rupture of the penis. Penile fracture has typical clinical signs reported as trauma to the penis, audible clicking sound, post erection detumescence with hematoma, and swelling. Although penile fracture is easily recognized and therefore classified as a “first-look diagnosis,” this clinical entity is always embarrassing for patients as well as partners and goes unreported many times. Surgical intervention is the preferred mode of treatment.įrom the Department of Surgery, S.M.H.S Hospital Srinagar, Kashmir, India 190009.Īddress correspondence and reprint request to: Imtiaz Wani, Shodi Gali, Amira Kadal, Department of Surgery, S.M.H.S Hospital Srinagar, Kashmir, India 190009.Į-mail: fracture is a medical emergency that always deems attention. A trauma to erect penis is mandatory for fracture to occur. One patient had gangrene of penile skin after surgery.Ĭonclusion: Penis Fracture is not so uncommon as reported. Left lateral tear was present in 53.84% cases. Most fractures were observed in the 16-30 years age group (50.88%). The constant finding recorded in all cases was that penis fracture occurred in erect penises. Results: Surgical intervention was done in 52 patients while 5 patients were managed conservatively. No invasive investigation was used for diagnosis. Methods: All patients diagnosed with penis fracture from March 2000-March 2007 were retrospectively studied. Surgical intervention is the preferred mode of treatment.Īim: To study clinical features and treatment of patients diagnosed with fractured penis. Manifestations are often typical and this fracture may be isolated or associated with urethral injury. Coitus and penile manipulations are common predisposing factors. Introduction: Penile fracture is a remarkable but under-reported urologic injury.
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