Recent Experience of Penile Fracture (1989-1993)

陰莖折斷－1989年至1993年的經驗

王進南(Chin-Nan Wang) ； 黃俊雄(Chun-Hsiung Huang) ； 江金培(Chin-Pei Chiang) ； 周以和(Yii-Her Chou) ； 王起杰(Chii-Jye Wang) ； 陳明潭(Min-Tan Chen) ； 吳文正(Wen-Jeng Wu) ； 黃俊農(Chun-Nung Huang) ； 江博暉(Po-Hui Chiang)

《The Kaohsiung Journal of Medical Sciences》 11卷12期 (1995/12) Pp. 654-659

https://doi.org/10.6452/KJMS.199512.0654

摘要

陰莖折斷在泌尿生殖器官是少見的傷害，主要在勃起的陰莖受到外力撞擊所引起的，陰莖折斷合併尿道損傷更是少見。從 1989 年到 1993 年高雄醫學院共有 n 例陰莖折斷病例，都發生在性行為時，患者馬上接受開刀以維持性功能，有一患者合併尿道完全切斷接受尿道重接術，十天後，有尿道瘦管的併發症。另有三患者尿道部份損傷接受恥骨上膀胱造口術，術後追蹤預後良好”建議陰莖骨折的患者馬上開刀修補白膜以維持性功能，如果併有部份尿道損傷，恥骨上膀胱造口術足以讓尿道損傷復元。

並列摘要

Penile fracture is an uncommon injury in the genitourinary organ which occurs following a blunt injury on the rigid penis. Penile fracture with urethral injury is even rarer. A total of 11 new patients with penile fracture were treated at our institution from 1989 to 1993. All of these injuries occurred during sexual intercourse and received immediate surgical repair to preserve the sexual function. Only one patient with complete transection of the urethra received end-to-end anastomosis of the urethra. Unfortunately, he suffered from urethral-cutaneous fistula ten days later. Suprapubic urinary diversion was performed in 3 patients with partial urethral tearing, and they enjoyed satisfactory outcomes during the limited follow-up. Immediate surgical repair of tunica albuginea is recommended for preserving penile function. If associated with partial urethral tear, suprapubic urinary diversion is sufficient to treat urethral lesions.

並列關鍵字

penile fracture ； urethral injury