PENILE FRACTURE, AN UNCOMMON UROLOGIC TRAUMA: EARLY SURGICAL REPAIR AND RESULTS

In this study, we present our experience in the management of 7 patients with penile fracture. All the patients were managed by immediate surgical repair, consisting complete evacuation of the hematoma and repair of the tear in the tunica albuginea. Urethral injury associated with penile fracture was seen in one patient. Mean follow-up time was 9 months. The results were excellent with early recovery of erectile function. Painful erections were observed in one patient. Because of these good results and the reported high complication rate of conservative treatment, the need f or immediate surgical repair is emphasized.

NADÝR BÝR ÜROLOJÝK TRAVMA, PENÝL FRAKTÜR: ERKEN CERRAHÝ TEDAVÝYE SONUÇLARI

Bu çalýþmada tedavi ettiðimiz 7 penil fraktürlü olgudaki tecrübelerimiz sunulmaktadýr. Bütün olgular acil olarak operasyona alýnmýþ ve hematom boþaltýmý ile tunika albugineadaki yýrtýðýn tamiri þeklinde tedavi edilmiþtir. Penil fraktüre eþlik eden üretral yaralanma bir olguda görülmüþtür. Ortalama takip süresi 9 aydýr. Erektil fonksiyonun erken kazanýlmasý ile sonuçlar yüz güldürücüdür. Bir olguda aðrýlý ereksiyonlar görülmüþtür. Bu baþarýlý sonuçlar ve konservatif tedavinin bildirilen yüksek komplikasyon oranlarý nedeniyle, penil fraktürde acil cerrahi tedavinin önemi vurgulanmýþtýr.