Long-term treatment outcomes between surgical correction and conservative management for penile fracture, "Beyond the Abstract," by Kleiton G. R. Yamaçake

BERKELEY, CA (UroToday.com) - The treatment of penile fracture has shifted from a conservative approach to one of early surgical repair. The diagnosis of the majority of cases is based on clinical findings, and confirmatory investigations are usually unnecessary. The prognosis for return and maintenance of normal sexual function is excellent if surgical repair is performed.

We also assessed the interval between the penile fracture and surgery. Patients submitted to treatment within 24 hours (23 patients) had similar incidents of overall complications than the group (12 patients) submitted to surgery outside of 24 hours.

Patients with blood at the meatus or any degree of hematuria and penile fracture need to have the urethra evaluated for concomitant injury. This can be done preoperatively with a retrograde urethrogram, or intraoperatively by flexible cystoscopy, or by injecting blue-tinged saline retrograde and evaluating for extravasation. We reported 100% of sensitivity for urethrogram, even though other study results are conflicting regarding this diagnostic exam.

One limitation of our study that should be pointed out is the small number of patients in the conservative group.

Written by:
Kleiton G. R. Yamaçake as part of Beyond the Abstract on UroToday.com. This initiative offers a method of publishing for the professional urology community. Authors are given an opportunity to expand on the circumstances, limitations etc... of their research by referencing the published abstract.

Division of Urology
University of Sao Paulo
Hospital das Clinicas
Sao Paulo, Brazil

Long-term treatment outcomes between surgical correction and conservative management for penile fracture: Retrospective analysis - Abstract

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