Penile fracture healing time surgery7/7/2023 Penoscrotal incision can be an adequate approach, whereas nearly two-thirds of fractures are located proximally. However, this technique can cause additional morbidity by diffuse swelling of the Dartos fascia. Surgical degloving of the penis with a circumferential incision is the most used technique for exploring the corpora cavernosum and penile urethra. We found no statistically significant difference between fracture etiology and tear location in 122 patients. In the largest study ever with 352 patients, Zargooshi reported that the most common location of ruptures caused by manual bending of the erect penis ( taghaandan practice) in Iran is proximal. IIEF scores remained the same in 9 patients who were admitted 12 to 96 hours after incidence 1 patient developed lower urinary tract symptoms. In our study, we also found no significant effect on postoperative erectile function of late admission to the hospital. A recent study revealed mild erectile dysfunction or penile curvature in 29 patients with a mean admission time after incidence of 5.5 hours. reported no difference in late complications with 113 months of follow-up between 31 patients who underwent surgical treatment after admission more than 24 hours (mean, 44 hours) after the incident and patients who were admitted early. Another study with 3 patients reported that erection was normal and straight after surgical correction that was delayed by 24 to 40 hours. reported penile curvature and painful sexual intercourse in patients who were surgically treated 48 hours after the incident. However, we had to define a majority (37%) of etiologies as “miscellaneous” because the patients' reports about the cause varied widely.Īsgari et al. In our study, we found results comparable with those in the literature, with sexual intercourse (30%) and manual bending of the erect penis (27%) as common causes. Zargooshi reported a 352 patient series from Iran in which manual bending of the erect penis was found to be the most common cause in 76% of patients. In Western countries, sexual intercourse has been reported as the most common cause. The etiology of penile fracture can differ geographically. Surgical exploration remains a safe and reliable option in all cases, but preoperative imaging techniques can help to make a diagnosis and avoid unnecessary surgical explorations. It can be difficult for many urologists to make an appropriate diagnosis because the physical and history findings may differ in each patient. Clinical history and physical findings may not be adequate to diagnose this situation there are several reports of other pathologies that mimic penile fracture. Penile fracture is an emergency that needs surgical intervention. As a result, it leads to an albuginea that is more vulnerable to external trauma. Penile fracture occurs with expansion of the corpus cavernosum and thinning of the tunica albuginea. The aim of this study was to evaluate the diagnostic value of MRI in patients with suspected penile fracture. Magnetic resonance imaging (MRI) has much better soft tissue imaging quality and can show tunical tears noninvasively. Cavernosography or penile ultrasonography can help in diagnosis, but these methods are mainly operator-dependent and have high false-negative rates. As a differential diagnosis, rupture of the penile superficial dorsal vein can be treated conservatively. In these circumstances, surgical exploration or additional imaging modalities can be considered. However, false penile fracture is also reported in patients who present with penile swelling, ecchymosis, and rapid detumescence after blunt penile trauma and report hearing a snap sound, which is typical of a penile fracture. Well-known physical findings and patient history reveal the diagnosis in most cases, and additional imaging methods are usually not necessary. Fracture typically occurs when the penis comes out from the vagina and hits the pubic bone or perineum during sexual intercourse. Penile fracture is defined as a disruption of the tunica albuginea with a corporeal tear occurring after a blunt trauma directed to an erect penis.
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