PENILE FRACTURE PRESENTATION AND MANAGEMENT, OUR EXPERIENCE AT TERTIARY CARE HOSPITAL.
Journal Title: IJSR-International Journal Of Scientific Research - Year 2017, Vol 6, Issue 4
Abstract
Background: Penile fracture is the traumatic rupture of tunica albuginea. Penile fracture is a urological emergency that occurs almost exclusively due to blunt trauma of erect penis. Diagnosis is mostly based on clinical history. Aims and objectives: To study the clinico-etiological profile and outcome of patients with penile fracture. Methods: is prospective study was conducted in Government Medical College Srinagar in the department of surgery over a period of two years. Total of 45 patients with fracture penis were included in the study. Clinico-etiological profile, management and outcome were recorded on a preformed proforma designed for the purpose. Results: e age group involved was 17-60 years with mean age of 29 yrs. 25 (55.6%) were married and 20(44.4) were unmarried. In 24 patients,fracture occurred during sexual Intercourse, in 13 patientsdue to masturbation and in 8 patients due to manipulation. 12 patients recalled a popping sound. Penile swelling was seen in 39 patients with pain in 37, deformity in 35 and ecchymosis in 3 patients. Diagnosis was made clinically and was confirmed on surgical exploration. One of the patients was managed conservatively. Repair of tunica defect was done with vicryl 2/0 in 44 cases. One urethral injury was encountered which was primarily repaired. Outcome was excellent and all patients regained complete penile function at 2 months follow up. Out of 44 cases treated surgically, 2patients had wound infection, 2 had painful erection, and 1 had fibrotic plaque in 1, had skin gangrene and 1, patient had depression. Conclusion: Penile fracture is an entity with typical clinical signs and no further investigations is usually needed. Management is early surgical intervention for better outcome and minimal rate of complications.
Authors and Affiliations
Bilal Ahmad Wagay, Shahnawaz Mansoor Shah, Mudasir Habib
Keywords
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