Abstract

RECALDE, J; CHEN, C; RECALDE, C  and  FACULTAD DE CIENCIAS MEDICAS. UNIVERSIDAD NACIONAL DE ASUNCION. Cátedra y Servicio de Urologia del Hospital de Clínicas. Penile Fracture: a series of cases. An. Fac. Cienc. Méd. (Asunción) [online]. 2014, vol.47, n.1, pp.93-100. ISSN 1816-8949.

ABSTRACT Penile fracture is one of the less frequent urological trauma. It is defined as the rupture of the corpus cavernosum resulting from blunt trauma to the erect penis. Vaginal intercourse is the most common cause of penile fracture. Associated urethral injury appears in 10% -20% of cases. In addition, there may be urethral bleeding and voiding difficulty. Ultrasonography and MRI are not useful tools for diagnosis. The Cavernosography has been used as a diagnostic tool for the detection of extravasated blood lying in the area of fracture but their role is limited. We present 5 cases of penile fracture treated between January 2005 and December 2007 in the Department of Urology at the Hospital de Clinicas of the FCM - UNA. Everybody went to the emergency room. Three of which relate lesion associated with intercourse, one associated with turning on the erect penis during sleep and psychiatric patient self-inflicted trauma. The diagnosis was clinical in all cases and surgical exploration was not delayed. Two cases were pure cavernous lesions, two were accompanied with partial urethral rupture and one 1 had only tearing of the dorsal vein of the penis. The 4 cases of cavernous lesion on the right side and were correlated with penile curvature to the left. The patients with urethral injury remained with transurethral probe for 8-10 days. Four of the five cases reported having no variation whatsoever regarding sexual potency. The remaining, psychiatric patient did not cooperate with the interrogation. Early surgery reduces morbidity and should not be delayed by doing previous diagnostic studies Keywords: penis fracture; cavernosum body

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