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Journal of the Korean Society of Traumatology 2004;17(1):81-87.
Clinical manifestation and Treatment: Multicenter study in Korea
Jong Bouk Lee, Jae Hyun Lee, Bum Sang Ryu, Jong Bo Choi*, Kyung Sup Lee**, Hong Sup Kim***
The Departments of Urology, Gachon Medical School, Incheon, Ajou University College of Medicine*
Suwon, Dongguk University College of Medicine**
Gyeongju, Konkuk University College of Medicine***
Chungju Hospital, Korea
음경골절의 임상상과 치료: 한국에서의 다기관 연구 결과
가천의대 비뇨기과학교실, 아주대학교 의과대학 비뇨기과학교실*
동국대학교 의과대학 비뇨기과학교실**
건국대학교 의과대학 충주병원 비뇨기과***
Backgrounds: Penile fracture is the traumatic injury of the tunica albuginea of the corpus carvernosum in erectile state. This study was designed to evaluate clinical manifestations, diagnostic and therapeutic modalities. Methods: Between December 1992 and July 2003, 72 patients were evaluated after penile injury. History taking and physical examination were performed in each patient and if needed, radiologic examination and operation was undergone. Results: The mean age of patients was 42 years old (18-72 years old), and causes of penile fracture were sexual intercourse (44 cases: 61.1%), masturbation (8 cases: 20.8%), and fingerpressure (4 cases: 5.6%) in order. As a preoperative radiologic examination, penile sonography was performed in 30 cases and carvernosogram in 20 cases. In each group, 4 and 3 cases who showed no sign of penile fracture underwent an operation, and it revealed carvernosal rupture in 1 case in both groups. Among 57 patients (79.1%) who had an early operation, 52 patients were found to have rupture of corpus carvernosum. The most common site of penile fracture was proximal shaft (28 cases: 53.9%) and then midshaft (15 cases: 28.9%) and distal shaft (5 cases:9.6%). Injury involved unilateral and bilateral corporeal rupture in 49 cases (Rt.:35, Lt.:14) and 3 cases. The overall complication rate in patients who had an early operation was 8.9% (4 of 45 cases) in compare to 66.7% (8 of 12 cases) in patients who did not. Conclusions: Our experience demonstrates that the most common cause and site of penile injury are sexual intercourse and right proximal shaft respectively, and an early operation would be an effective treatment to prevent complications. When penile fracture is not clinically definite, radiologic examination, such as carvernosogram or penile sonography, can be helpful in making diagnostic and therapeutic plan.
Key Words: Penile fracture; Operation; Injuries


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