Is radiologic evaluation necessary for penile fracture? Peni̇l fraktür tani ve tedavi̇si̇nde radyoloji̇k tetk̇ik gerekli̇mi̇ḋir?


Gücük A., Tuygun C., NALBANT İ., Imamoǧlu A., Sertçelik N.

Turk Uroloji Dergisi, vol.33, no.1, pp.64-67, 2007 (SCI-Expanded) identifier

  • Publication Type: Article / Article
  • Volume: 33 Issue: 1
  • Publication Date: 2007
  • Journal Name: Turk Uroloji Dergisi
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
  • Page Numbers: pp.64-67
  • Keywords: Penile fracture, Radiologic evaluation, Urethral trauma
  • Lokman Hekim University Affiliated: Yes

Abstract

Introduction: Penile fracture is a rare urological emergency, which generally happens following blunt trauma. Although it mostly happens during intercourse, it also can happen as a result of uncontrolled force towards erected penis. Current treatment is urgent surgical repair. Materials and Methods: In this study, we aimed to discuss the necessity and role of radiological techniques with long-term outcomes of patients who underwent surgical repair. For this purpose revival 26 patients who had undergone surgery for penile fracture between years 1999-2006. We investigated patient files for history, physical examination, diagnostic techniques and results of the surgical procedure retrospectively. Results: Average patient age was 35.5 (22-56). Etiological causes of fractures were rolling on bed and sexual intercourse. In all of the patients, after typical crack noise, sudden detumescence penile swelling and penile curvature history submitted as natural course and physical signs for penile fracture. In physical examination penile swelling ecchymosis and haematomas were found in all patients. Operation decision was given by physical examination and natural history without a need of radiological techniques such as ultrasound, cavernsography, urethrography. Surgical procedure confirmed our prior diagnosis in all patients. During long-term follow-ups, penile deviation under 35 degrees was detected in 4 patients (15%); erectile dysfunction was noted in 2 patients (8%) and no other complications were observed. Conclusion: Consequently, penile fracture can effectively be diagnosed and managed based on history and physical examination. Radiological evaluation is only necessary in limited number of cases.