Surgical treatment of blunt trauma (fracture) of the penis with damage to the urethra

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This case comprised treatment of a patient with penile injury involving damage to the urethra. Revision of the penis, suturing defects of the tunica cavernous membrane, and primary suture of the urethra were performed. The postoperative period was complicated by necrosis of the skin of the penis, requiring repeated surgical intervention. Replacement plasty of the skin of the penis, using skin from the outer surface of the thigh, was performed with a satisfactory result.

作者简介

Stanislav Basok

Sochi City Hospital No. 4, Ministry of Health Care of Krasnodar Region

编辑信件的主要联系方式.
Email: stas_basok@mail.ru

Urologist

俄罗斯联邦, Sochi

Pavel Kyzlasov

State Research Center Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency of Russia

Email: dr.kyzlasov@mail.ru

Doctor of Medical Science, Associate Professor, Department Urology and Andrology

俄罗斯联邦, Moscow

Alexandr Kobzarev

Sochi City Hospital No. 4, Ministry of Health Care of Krasnodar Region

Email: dr.kyzlasov@mail.ru

Candidate of Medical Science, Head of Urological Unit

俄罗斯联邦, Sochi

Sergey Sagradov

Sochi City Hospital No. 4, Ministry of Healthcare of Krasnodar Region

Email: dr.kyzlasov@mail.ru

Urologist

俄罗斯联邦, Sochi

Elena Dolbilkina

Sochi City Hospital No. 4, Ministry of Healthcare of Krasnodar Region

Email: dr.kyzlasov@mail.ru

Surgeon

俄罗斯联邦, Sochi

参考

  1. Аль-Шукри С.Х., Боровец С.Ю., Голощапов Е.Т., и др. Клинические рекомендации по оказанию скорой медицинской помощи при травме мужских мочеполовых органов, инородном теле уретры и мочевого пузыря, фимозе и парафимозе // Урологические ведомости. – 2013. – Т. 3. – № 4. – С. 22–28. [Al’-Shukri SKh, Borovets SY, Goloshchapov ET, et al. Clinical recommendation for first medical emergency treatment in case of male urogenital organs trauma, foreign body in urethra and bladder, phimosis and paraphimosis. Urologicheskie vedomosti. 2013;3(4):22-28. (In Russ.)]
  2. Zargooshi J. Penile fracture in Kermanshah, Iran: report of 172 cases. J Urol. 2000;164(2):364-366. doi: 10.1016/S0022-5347(05)67361-2.
  3. Eke N. Fracture of the penis. Br J Surg. 2002;89(1):555-565. doi: 10.1046/j.1365-2168.2002.02075.x.
  4. Белый Л.Е. Перелом полового члена. Современные аспекты диагностики и лечения // Андрология и генитальная хирургия. – 2010. – Т. 11. – № 2. – С. 23–28 [Belyi LE. Penile fracture, modern aspects of diagnosis and treatment. Andrologija i genital’naja hirurgija. 2010;11(2):23-28. (In Russ.)]
  5. Ibrahiem EHI, El-Tholoth HS, Mohsen T, et al. Penile Fracture: Long-term Outcome of Immediate Surgical Intervention. Urology. 2010;75(1):108-111. doi: 10.1016/j.urology.2009.08.057.
  6. Amer T, Wilson R, Chlosta P, et al. Penile fracture: A meta-analysis. Urol Int. 2016;96(3):315-329. doi: 10.1159/000444884.
  7. Moslemi MK. Evaluation of epidemiology, concomitant urethral disruption and seasonal variation of penile fracture: A report of 86 cases. Can Urol Assoc J. 2013;7(9-10): E572-575. doi: 10.5489/cuaj.179.
  8. Barros R, Schul A, Ornellas P, et al. Impact of Surgical Treatment of Penile Fracture on Sexual Function. Urology. 2018. doi: 10.1016/j.urology.2018.11.047.
  9. Johnsen NV, Kaufman MR, Dmochowski RR, Milam DF. Erectile Dysfunction Following Pelvic Fracture Urethral Injury. Sex Med Rev. 2018;6(1):114-123. doi: 10.1016/j.sxmr.2017.06.004.

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版权所有 © Basok S.M., Kyzlasov P.S., Kobzarev A.P., Sagradov S.K., Dolbilkina E.Y., 2019

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此作品已接受知识共享署名 4.0国际许可协议的许可
 


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