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- Jesús Moreno Sierra, Hector Garde Garcia, Cristina Fernandez Perez, Isabel Galante Romo, Cesar Chavez Roa, Jose Luis Senovilla Perez, and Angel Silmi Moyano.
- Urology Department, Hospital Clínico San Carlos, Universidad Complutense, Madrid, Spain. dr_jmoreno@hotmail.com
- Urol. Int. 2011 Jan 1;86(4):439-43.
BackgroundThe objective of this study is to describe and analyze the experience over a period of 10 years at our center through a retrospective study of a series of diagnosed and treated cases of penile fracture.Material And MethodsFrom 2005 to 2009 the Urology Department of the Hospital Clínico San Carlos of Madrid carried out a retrospective case study of a total of 15 cases of penile fracture. The diagnosis was reached through physical exploration of the patient aided by a penile ultrasound; the immediate treatment performed on the patients was emergency surgical repair.ResultsFrom the total in the series (n = 15), only 1 case was associated with a complete urethral fracture (6.6%). Surgical repair was performed in all cases; the average hospital stay was 2.6 days (range 1-5), and the most frequent long-term complication was erectile dysfunction in 3 of 15 cases (20%).ConclusionsA penis fracture diagnosis is mostly clinical; complementary tests, such as ultrasound, are helpful but not definitive. Surgical treatment consists of an incision that allows adequate exposure of the corpora cavernosa and urethra to repair the suspected lesions found upon diagnosis. Ambulatory follow-up is essential to diagnose and treat possible complications.Copyright © 2011 S. Karger AG, Basel.
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