PENILE FRACTURE : EXPERIENCE FROM A TERTIARY CARE HOSPITAL

Malik Suhail AHMAD, Irfan Nazir MIR, Malik Faizan ABBASS

Abstract


Introduction: Penile fracture is a misnomer,penile fracture is defined as  rupture of the tunica albuginea of one or both corpus cavernosum. The usual cause is abrupt bending of the erect penis by blunt trauma, which may occur during sexual intercourse, masturbation, rolling over on the bed or falling onto the erect penis.  Diagnosis of penile fracture is made on the basis of history and physical examination.standard mode of management is surgical.
Methods: This retrospective study was conducted in the department of surgery SMHS hospital srinagar ,(Jammu and Kashmir), extending over a period of  about three and a half  years from june 2013 to January 2017 . All patients with diagnosed penile fracture were included in this study. All except one patient were operated one the same day of admission.
Results: out of a total of 50 patients studied ,the mean age of presentation was 26.7 years.Majority (56%)were below 30 years of age.21 (42%) of the patients were married.majority42% of the patients reported masturbation as cause of trauma,followed by vaginal intercourse in38% and rolling on erect penis in 20%.About 80% patients gave history of audible click/crackling sound.All patients had swelling and discolouration on examination,90% patients had penile deformity,only 36 % had palpable defect.Dopler USG was correct in 93% patients.Majority (44%) patients had defect less than 1cm.defect was mostly seen on right side (68%).most patients had proximal penile defect (56%). Mean hospital stay was 2.9 days. One patient (2%) had urethral trauma.Surgery had a recurrence of 2%.and a total postoperative complication rate of 10%.
Conclusions: Penile fracture though reported rarely, is a common entity. Penile fracture is a urological emergency.Diagnosis is mainly on clinical grounds.Immediate surgical repair is the standard treatment of penile fracture.


Keywords


Keywords: Penile fracture, DoplerUSG, Masturbation

References


Bhuyian ZH, Khan SA, Tawhid MH, Islam MF.Personal series with clinical review of fracturepenis. Mymensingh Med J 2007;16:187-90.

Eke N. Fracture of penis. Br J Surg 2002; 89:555-65

Koga S, Saito Y, arakaki Y, Nakamura N, Matsuoka M , Saita H, et al sonography in fracture of penis. Br j urol 1993;72;228-9

Jack GS, Garraway I, Reznichek R, Rajfer J. Current treatment options for penile fracture. Rev urol 2004;6:114-20

Paul D.Ekwere FRCS and Mohammed Al-Rashid FRCSI.Trends in the incidence,clinical presentation and management of traumatic rupture of the corpus cavernosum.Journal of the National Medical Association Feb.2004;Vol.96,No.2:229-233

Z Athar, PR Chalise, UK Sharma, PR Gyawali, GK Shrestha and BR Joshi.Penile fracture at Tribhuvan University Teaching Hospital. A retrospective analysis. Nepal Med Coll J 2010; 12(2):66-68.

Benefelloun M, Rabii R, Bennani S, Querfani B, Jonal A, El MriniMN. Fracture of the corpuscavernosum: report of 123 cases.Afr J Urol 2003; 9:1-10.

Taha Abdel Nasser, MD, and TaymourMostafa, MD.Delayed surgical repair of penile fracture under local Anaesthesia-Journal OF Sexual Medicine 2008; 5:2464-2469.

Hung-Jen Shih,Wen-Chou Lin,Huang-KuangChang,Stone Yang, Jong-Ming Hsu,MarceloChen,Wei-Kung Tsai.Penile fracture: Analysis of 13 patients a literature review.JTUA 2007;18:99-101.

Imtiaz Wani. Management of penile fracture. Oman Medical Journal July 2008; Vol.23: issue 3: Page 162-165.

Rooh-ul-Muqim,Qutb-e-Alam Jan and Mohammad Zarin. Management of penile fracture.Pak J Med Sci Jan-Mar 2006; Vol.22, No.1:23-27.

Gregory S, Jack M, Garrawy I, Reznick R, Rajfer J. Current treatment options for penile fracture. Rev Urol 2004; 6:114-20.

Abdullah Gedik,DevrimKayan,SaitYilmaz,KamuranBircan.the diagnosis and treatment of penile fracture: Our 19 year experience. Turkish Journal Trauma and Emergency Surgery 2011; 17(1):57-60.

Soylu A, Yilmaz U, Davarci M, Baydinc C. Bilateral disruption of corpus cavernosum with complete urethral rupture. Int J Urol 2004; 11:811-2.

Derouche A, Belhaj K, Hentali H, Hafsia G, Shama MR, Chelbil M. Management of penile fractures complicated by urethral rupture. Int J Impot Res 2008; 20:111-4. Epub 2007 Aug 2.

G.V.SoundraPandyan, Ahmed BakeetZaharani,and Mohammed Al Rashid. Fracture penis: An analysis of 26 Cases. the Scientific World Journal (2006)6, 2327-2333.




DOI: http://dx.doi.org/10.15342%2Fijms.v6i0.254

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