Document Detail

Does timing of presentation of penile fracture affect outcome of surgical intervention?
MedLine Citation:
PMID:  21440289     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess the effect of timing of presentation of cases with penile fracture on the outcome of surgical intervention.
PATIENTS AND METHODS: Between January 1986 and May 2010, 180 patients with penile fracture were treated surgically in our center. To assess the effect of timing of presentation, patients were classified into 2 groups: group I with early presentation (≤24 hours) and group II with delayed presentation (>24 hours). All patients were contacted by mail or phone and were re-evaluated. All patients were reevaluated by questionnaire and local examination. Patients with erectile dysfunction were evaluated by color Doppler ultrasonography.
RESULTS: Group I included 149 patients (82.8%) and group II included 31 (17.2%). In group I, patients presented to the emergency department from 1-24 hours (mean, 11.8) after occurrence of the penile trauma. Although patients in group II presented from 30 hours to 7 days (mean, 44.7 hours). Both groups were similar regarding etiology of injury, clinical presentation, surgical findings, and incidence of associated urethral injury. Mean follow-up period for group I was 105 months, and for group II it was 113 months. After such long-term follow up, 35 (19.4%) patients had complications; however, there was no statistically significant difference between both groups.
CONCLUSIONS: Cases of penile fracture with early or delayed presentation up to 7 days should be managed surgically. Both groups have comparable excellent outcome with no serious long-term complications.
Ahmed el-Assmy; Hossam S el-Tholoth; Tarek Mohsen; el-Housseiny I Ibrahiem
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Publication Detail:
Type:  Journal Article     Date:  2011-03-25
Journal Detail:
Title:  Urology     Volume:  77     ISSN:  1527-9995     ISO Abbreviation:  Urology     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-05-31     Completed Date:  2011-08-12     Revised Date:  2011-12-16    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1388-91     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 Elsevier Inc. All rights reserved.
Department of Urology, Urology and Nephrology Center, Mansoura University, Mansoura, Egypt.
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MeSH Terms
Emergency Medical Services / organization & administration
Middle Aged
Penile Diseases / diagnosis*,  pathology,  surgery*
Penis / surgery
Rupture / surgery
Sexual Dysfunction, Physiological / diagnosis,  etiology
Treatment Outcome
Ultrasonography, Doppler / methods
Urologic Surgical Procedures / methods
Comment In:
J Urol. 2011 Dec;186(6):2298   [PMID:  22078600 ]
Urology. 2011 Jun;77(6):1391-2; author reply 1392   [PMID:  21624599 ]

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