Their erection angles were found to be within the normal range. None of the patients reported penile deformity or painful erections. Incomplete urethral injuries were primarily repaired around 18 French Foley catheter. Tunica defects varied between 1 and 2 cm. The patients were taken to emergency surgery. Retrograde urethrography was indicated in 2 patients with blood in the external meatus and were diagnosed with urethral injury. In their etiological questioning, most patients reported the fracture occurring during sexual intercourse. The average age of the 49 patients, who were included in the study, was 36.5 years (21-65). The patients were then followed for painful erections, penile deformities and erection angles. In all patients, penile skin was peeled using a circular subcoronal degloving incision and tunica tear was repaired using absorbable suture materials. Two patients who were diagnosed with urethrorrhagia underwent retrograde urethrogram for urethral injury. Physical examination was performed to see the extent of penile hematoma, the side of the penile curvature and the presence of blood in the external meatus. Materials and Methodsįorty-nine patients who were diagnosed with penile fracture between January 2009 and December 2014 were reviewed. The preferred treatment method is draining the hematoma and surgical repair of tunica albuginea tear as soon as possible following diagnosis. Note: The page contents are for informational purposes only and a doctor's application is required for your diagnosis and treatment.Penile fracture is a urological emergency caused by direct trauma to an erected penis, tearing the tunica albuginea in the corpus cavernosum. Because of this event, our patients' embarrassment is out of place, and penile fracture is a very natural health problem like other diseases. This trauma is a urological emergency and is seen much more than is thought. In conclusion, when this happens to you, I recommend you to consult a urologist without delay. In this surgery, the damaged tunica albuginea tissue is sutured end-to-end, resulting in less scar tissue healing and less potential side effects. Urethral (urinary canal) stenosis (if trauma has also affected the urethra).Īll these side effects can be seen after penile fracture, but they are much more common in patients who do not have surgery or in delayed operations.What Happens If Penile Fracture Is Not Operated, What are the complications? Patients are usually discharged one day later. In this surgery, the most suitable cosmetic appearance is aimed by using the previously applied circumcision incision, if any. Even in delayed cases, the operation should not be avoided. Scientific researches and reviews have concluded that performing this operation in the first 24 hours of the event is essential for the preservation of sexual functions. Thus, it is aimed to protect the erectile function by providing the least scar tissue damage. When penile fracture is detected, the tissue named tunica albuginea mentioned above and damaged by trauma should be repaired immediately. During this time, a penile fracture develops. Sometimes, men who have difficulty urinating in the morning erection can damage the penile tissue. Taqaandan: In some cultures, the penis is bent for relaxation while the penis is erect.Blunt and precise blows (especially when the forceps are erect),.Traumatic sexual intercourse (especially when the female partner is on top),. It mostly occurs during sexual intercourse. The way the event occurred, its time, whether there was loss of erection during the event, and physical examination findings are very important. If there are doubts in penile fracture diagnosis, which is usually diagnosed by history and physical examination, imaging methods such as cavernosography, ultrasonography and MRI can be used. Penile fracture should be differentiated from mild penile trauma in which the tunica albuginea is not damaged. This bleeding, which manifests itself with bruising, usually spreads to the entire penis shaft, and if the lower layers of the penis are damaged in the BUCK's FACIAL, the bruising also spreads to the abdominal wall. Sometimes there may be a lateralization towards one side. Significant swelling and hematoma ( sign of bleeding, bruising) occur in the penis. Usually, a cracking sound is heard during the event and the erect (hardened) penis suddenly turns into a detumescent (down) state. Erectile Dysfunction (Impotence) Treatment.Painful Bladder Syndrome (Interstitial Cystitis).
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