CIRCUMFERENTIAL SUBCORONAL DEGLOVING INCISION FOR THE MANAGEMENT OF PENILE FRACTURE

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Abstract

ABSTRACT
Objective: To evaluate the clinical presentation and outcome of the treatment of penile fracture.
Materials and methods: Forty eight patients of penile fracture were admitted in our unit from January 2013 to December
2014 and were included in this study. Detailed history and thorough Physical examination was done. The operative
plan consisted of immediate exploration though subcoronal circumferential incision. Data analysis was performed to
obtain descriptive statistics.
Results: The mean age was 31 years. Causes of fractures were manipulation in 40 (80.33%) cases, sexual maneuver
in 5 (10.41%) cases and rolling or fall on bed in 3 (6.24).The average interval from time of injury to presentation was
21 hours. All the patients presented with the typical clinical picture of a cracking sound at the time of injury, pain, rapid
detumescence, and penile deformity. One patient had associated urethral injury. In all the patients the tunica albuginea
weas promptly repaired by circumferential degloving incision. All the patients were sexually active at three months
follow-up interval.
Conclusion: Common clinical presentation were snapping or popping sound, sudden penile pain, detumescence
and penile deformity. Tunica albuginea repair using subcoronal circumferential incision gives excellent results in both
sexual and voiding functions.
Key words: Penile fracture, Tunica albuginea.

Authors: 
Mir Alam Jan
Haris Hamid
Journal Issue: 

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