Urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruption
Objectives: Penile fracture with concomitant complete urethral disruption is an uncommon urologic disorder. Data about the treatment and outcome measurements of this condition are scarce in the literature. The aim of the present study is to evaluate the long term urinary and sexual functions of pati...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2014-03-01
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| Series: | Archivio Italiano di Urologia e Andrologia |
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| Online Access: | http://www.pagepressjournals.org/index.php/aiua/article/view/3304 |
| _version_ | 1819204253826154496 |
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| author | Ali Abdel Raheem Hassan El-Tatawy Ahmed Eissa Abdel Hamid Elbahnasy Mohamed Elbendary |
| author_facet | Ali Abdel Raheem Hassan El-Tatawy Ahmed Eissa Abdel Hamid Elbahnasy Mohamed Elbendary |
| author_sort | Ali Abdel Raheem |
| collection | DOAJ |
| description | Objectives: Penile fracture with concomitant complete urethral disruption is an uncommon urologic disorder. Data about the treatment and outcome measurements of this condition are scarce in the literature. The aim of the present study is to evaluate the long term urinary and sexual functions of patients with penile fracture associated with complete urethral injury after immediate surgical reconstruction. Patients and methods: Twelve patients met our inclusion criteria and were included in this retrospective case series study; however, one was lost during follow-up. Patient's medical records were reviewed and all patients were interviewed for clinical evaluation. Urinary function was assessed by history, uroflometry and retrograde urethrography, while, sexual function was assessed by questionnaire (Sexual Health Inventory for Men) and penile Doppler for patients with erectile dysfunction. Results: Patients’ mean age was 32.3 ± 7.5 years (range 21-43) and the mean follow-up period was 72.6 ± 45.4 months (range 14-187). Vigorous sexual intercourse was the main cause in 91% of our patients. No serious long term complications was found. Only 1 patient (9%) suffered from anterior urethral stricture, 1 patient (9%) complained of weak erection, 3 patients (27%) had a palpable fibrosis and 2 patients (18%) reported a slight penile curvature during erection. Ninety one percent of all our patients maintained their normal urinary and sexual functions. Conclusion: On the long term follow-up, most of the patients maintained their normal erectile and voiding functions with no harmful long-term complications. We advocate immediate surgical intervention and reconstruction of both corpora cavernous and urethra as a first line treatment for those patients. |
| first_indexed | 2024-12-23T04:32:53Z |
| format | Article |
| id | doaj.art-9a0336ad3e674a6badc4ff7625395884 |
| institution | Directory Open Access Journal |
| issn | 1124-3562 2282-4197 |
| language | English |
| last_indexed | 2024-12-23T04:32:53Z |
| publishDate | 2014-03-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Archivio Italiano di Urologia e Andrologia |
| spelling | doaj.art-9a0336ad3e674a6badc4ff76253958842022-12-21T17:59:59ZengPAGEPress PublicationsArchivio Italiano di Urologia e Andrologia1124-35622282-41972014-03-01861151910.4081/aiua.2014.1.152561Urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruptionAli Abdel Raheem0Hassan El-Tatawy1Ahmed Eissa2Abdel Hamid Elbahnasy3Mohamed Elbendary4Urology Department, Tanta University HospitalUrology Department, Tanta University HospitalUrology Department, Tanta University HospitalUrology Department, Tanta University HospitalUrology Department, Tanta University HospitalObjectives: Penile fracture with concomitant complete urethral disruption is an uncommon urologic disorder. Data about the treatment and outcome measurements of this condition are scarce in the literature. The aim of the present study is to evaluate the long term urinary and sexual functions of patients with penile fracture associated with complete urethral injury after immediate surgical reconstruction. Patients and methods: Twelve patients met our inclusion criteria and were included in this retrospective case series study; however, one was lost during follow-up. Patient's medical records were reviewed and all patients were interviewed for clinical evaluation. Urinary function was assessed by history, uroflometry and retrograde urethrography, while, sexual function was assessed by questionnaire (Sexual Health Inventory for Men) and penile Doppler for patients with erectile dysfunction. Results: Patients’ mean age was 32.3 ± 7.5 years (range 21-43) and the mean follow-up period was 72.6 ± 45.4 months (range 14-187). Vigorous sexual intercourse was the main cause in 91% of our patients. No serious long term complications was found. Only 1 patient (9%) suffered from anterior urethral stricture, 1 patient (9%) complained of weak erection, 3 patients (27%) had a palpable fibrosis and 2 patients (18%) reported a slight penile curvature during erection. Ninety one percent of all our patients maintained their normal urinary and sexual functions. Conclusion: On the long term follow-up, most of the patients maintained their normal erectile and voiding functions with no harmful long-term complications. We advocate immediate surgical intervention and reconstruction of both corpora cavernous and urethra as a first line treatment for those patients.http://www.pagepressjournals.org/index.php/aiua/article/view/3304Urinary functionSexual functionPenile fractureSurgical treatment |
| spellingShingle | Ali Abdel Raheem Hassan El-Tatawy Ahmed Eissa Abdel Hamid Elbahnasy Mohamed Elbendary Urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruption Archivio Italiano di Urologia e Andrologia Urinary function Sexual function Penile fracture Surgical treatment |
| title | Urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruption |
| title_full | Urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruption |
| title_fullStr | Urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruption |
| title_full_unstemmed | Urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruption |
| title_short | Urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruption |
| title_sort | urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruption |
| topic | Urinary function Sexual function Penile fracture Surgical treatment |
| url | http://www.pagepressjournals.org/index.php/aiua/article/view/3304 |
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