Approach to management of penile fracture- Our Three-year experience at a Teaching Hospital
| Autor: | Sunil Basukala, Narayan Thapa, Bikash Bahadur Rayamajhi, Bikram Basukala, Saurav Karki |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: | |
| Zdroj: | Journal of Society of Surgeons of Nepal, Vol 24, Iss 1 (2021) |
| Druh dokumentu: | article |
| ISSN: | 1815-3984 2392-4772 80316964 |
| DOI: | 10.3126/jssn.v24i1.41029 |
| Popis: | Introduction: Penile fracture is a rare surgical emergency. It usually occurs as a single rupture of the tunica albuginea in one of the two corpora cavernosa; a rupture of both masses is an uncommon finding. We conducted this study to determine the etiology, clinical presentation and to review the causes and management of penile fracture. Methods: The retrospective study was carried out on 17 patients, admitted in the department of Urosurgery from January 2017 to December 2020 with penile fracture in a tertiary care teaching hospital in Kathmandu. Patient demographic profile, etiology, clinical presentation, time interval from injury to presentation, investigation done, treatment given and intraoperative findings were analyzed. Results: The main cause of penile fractures was sexual intercourse (82.35%) followed by manual manipulation (17.65%). Crackling sound (100%) followed by penile hematoma and pain were the most common presenting symptoms among the patients. Surgical exploration and repair of injury was done in all patients. Conclusion: Most of the time diagnosis of penile fracture can be made reliably by history and physical examination. Early surgical intervention is associated with a good outcome, regardless of the timing of presentation. |
| Databáze: | Directory of Open Access Journals |
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