Approach and Management Of Penille Fracture Patients Applying to The Emergency Department
Journal Title: Hippocrates Medical Journal - Year 2022, Vol 2, Issue 1
Abstract
Introduction Penile fracture is one of the rare urological emergencies, but it needs attention. Most penile fractures are caused by direct trauma during sexual intercourse. Direct trauma to an erect penis results in increased pressure in the cavernosa. This increased pressure causes the tunica albuginea to rupture. Penile fracture most commonly seen during sexual intercourse in Western societies; In the Middle East and Gulf countries, it is seen at a rate of 65% due to the "taqaandan" (or taghaandan) maneuver. Although the history and physical examination have an important place in the diagnosis, difficulties may be encountered. Our aim in this study is to share our clinical experience and contribute to the literature. Materials and Methods Thirty patients who applied to Pamukkale University Medical Faculty Emergency Service between 2009-2022 were evaluated retrospectively. The patients' age, presentation complaints, physical examination findings, duration of admission to the emergency department, radiological imaging procedures, surgical findings performed by the urology, whether there was any accompanying urethral injury, and the location of the fracture detected in the radiological examinations of the patients and the compatibility of the fracture detected during surgery were evaluated.. Results The mean age of the patients was 42.5±14.2 years. The rate of admission to the emergency department within the first 6 hours was 56.5%. It was observed that the cause of penile fracture was during the sexual history in 56.5%, and the most common physical examination finding was penile hematoma with a rate of 87%. The success rate of penile doppler ultrasonography in clearly evaluating the presence of penile fracture was found to be 39.1%.. Conclusion The most common cause of penile fracture is sexual intercourse, and the diagnosis is made by typical anamnesis and physical examination. Physical examination, ultrasonography, and if there is doubt, magnetic resonance imaging guides the diagnosis.
Authors and Affiliations
Kürşat KÜÇÜKER, Salih BÜTÜN, Alper ŞİMŞEK
Keywords
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- DOI https://doi.org/10.29228/HMJ.10
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