Penile fracture with urethral injury: Our experience in a tertiary care hospital

Penile fracture is a rare urological emergency that always requires immediate attention. It may be associated with urethral trauma in 9% to 20% of cases. We present our experience in treating 12 such cases. This is a prospective observational study extending from January 2000 to December 2016. Each...

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Main Authors: Priyatham Kasaraneni, Prasad Mylarappa, Ramesh Desi Gowda, Sandeep Puvvada, Dheeraj Kasaraneni
Format: Article
Language:English
Published: PAGEPress Publications 2019-01-01
Series:Archivio Italiano di Urologia e Andrologia
Subjects:
Online Access:https://pagepressjournals.org/index.php/aiua/article/view/7858
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author Priyatham Kasaraneni
Prasad Mylarappa
Ramesh Desi Gowda
Sandeep Puvvada
Dheeraj Kasaraneni
author_facet Priyatham Kasaraneni
Prasad Mylarappa
Ramesh Desi Gowda
Sandeep Puvvada
Dheeraj Kasaraneni
author_sort Priyatham Kasaraneni
collection DOAJ
description Penile fracture is a rare urological emergency that always requires immediate attention. It may be associated with urethral trauma in 9% to 20% of cases. We present our experience in treating 12 such cases. This is a prospective observational study extending from January 2000 to December 2016. Each patient with penile fracture underwent a thorough clinical evaluation and received proper treatment. Seventy-five patients with penile fracture, aged 25 to 36 years (mean, 31.5 years) were evaluated in this study. Sexual intercourse was the common mechanism of injury in most of the patients. 12 of the patients had associated urethral injury. All the patients were diagnosed on taking proper history and after clinical examination. All patients were subjected emergency surgical exploration. All the patients underwent minimum of 1 year of follow-up, and were evaluated with local examination, uroflowmetry and Colour Doppler ultrasonography. Penile fracture is associated with urethral injury especially in the presence of suggestive history and physical examination like acute urinary retention, bleeding per urethra. Immediate primary surgical management of both the penile fracture and urethral injury is a safe and effective option with minimal complications.
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spelling doaj.art-5ad651182ba747e7959ca9a2842982c92022-12-21T20:40:06ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972019-01-0190410.4081/aiua.2018.4.283Penile fracture with urethral injury: Our experience in a tertiary care hospitalPriyatham Kasaraneni0Prasad Mylarappa1Ramesh Desi Gowda2Sandeep Puvvada3Dheeraj Kasaraneni4Department of Urology MS Ramaiah Medical College, BengaluruDepartment of Urology MS Ramaiah Medical College, BengaluruDepartment of Urology MS Ramaiah Medical College, BengaluruDepartment of Urology MS Ramaiah Medical College, BengaluruDepartment of Urology MS Ramaiah Medical College, BengaluruPenile fracture is a rare urological emergency that always requires immediate attention. It may be associated with urethral trauma in 9% to 20% of cases. We present our experience in treating 12 such cases. This is a prospective observational study extending from January 2000 to December 2016. Each patient with penile fracture underwent a thorough clinical evaluation and received proper treatment. Seventy-five patients with penile fracture, aged 25 to 36 years (mean, 31.5 years) were evaluated in this study. Sexual intercourse was the common mechanism of injury in most of the patients. 12 of the patients had associated urethral injury. All the patients were diagnosed on taking proper history and after clinical examination. All patients were subjected emergency surgical exploration. All the patients underwent minimum of 1 year of follow-up, and were evaluated with local examination, uroflowmetry and Colour Doppler ultrasonography. Penile fracture is associated with urethral injury especially in the presence of suggestive history and physical examination like acute urinary retention, bleeding per urethra. Immediate primary surgical management of both the penile fracture and urethral injury is a safe and effective option with minimal complications.https://pagepressjournals.org/index.php/aiua/article/view/7858penile fractureurethral injurycorporatunicadetumescence
spellingShingle Priyatham Kasaraneni
Prasad Mylarappa
Ramesh Desi Gowda
Sandeep Puvvada
Dheeraj Kasaraneni
Penile fracture with urethral injury: Our experience in a tertiary care hospital
Archivio Italiano di Urologia e Andrologia
penile fracture
urethral injury
corpora
tunica
detumescence
title Penile fracture with urethral injury: Our experience in a tertiary care hospital
title_full Penile fracture with urethral injury: Our experience in a tertiary care hospital
title_fullStr Penile fracture with urethral injury: Our experience in a tertiary care hospital
title_full_unstemmed Penile fracture with urethral injury: Our experience in a tertiary care hospital
title_short Penile fracture with urethral injury: Our experience in a tertiary care hospital
title_sort penile fracture with urethral injury our experience in a tertiary care hospital
topic penile fracture
urethral injury
corpora
tunica
detumescence
url https://pagepressjournals.org/index.php/aiua/article/view/7858
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AT rameshdesigowda penilefracturewithurethralinjuryourexperienceinatertiarycarehospital
AT sandeeppuvvada penilefracturewithurethralinjuryourexperienceinatertiarycarehospital
AT dheerajkasaraneni penilefracturewithurethralinjuryourexperienceinatertiarycarehospital