12/11/2023 0 Comments Penile fracture surgeryPenile fracture is considered a urologic emergency and when a penile fracture is suspected an urgent urologic consultation is needed. In extreme cases, a tear in the urethra (urine channel) can also occur. This results in the instantaneous loss of the erection. These forces result in a tear in the tunica albuginea (the lining of the erectile bodies). Penile fracture is an uncommon condition that results from the abrupt bending of the erect penis. Fellowship Program Toggle Fellowship Program menu options.Cornell Microsurgery Training and Research Program Toggle Cornell Microsurgery Training and Research Program menu options.Peyronie's Disease Toggle Peyronie's Disease menu options.ED Following Treatment for Prostate Cancer.Erectile Dysfunction (ED) Toggle Erectile Dysfunction (ED) menu options.Sexual Medicine Toggle Sexual Medicine menu options.Surgical Sperm Retrieval Toggle Surgical Sperm Retrieval menu options.Non-Obstructive Azoospermia Toggle Non-Obstructive Azoospermia menu options.Vasectomy Toggle Vasectomy menu options.Microsurgical Vasoepididymostomy Toggle Microsurgical Vasoepididymostomy menu options.Microsurgical Varicocelectomy Toggle Microsurgical Varicocelectomy menu options.Effects of Chronic Reproductive Tract Obstruction.Microsurgical Retrieval of Epididymal Sperm Toggle Microsurgical Retrieval of Epididymal Sperm menu options.Assisted Reproductive Techniques (ART) Toggle Assisted Reproductive Techniques (ART) menu options.Procedures Toggle Procedures menu options.Fertility Evaluation Toggle Fertility Evaluation menu options.Congenital Bilateral Absence of Vas Deferens. Vas Deferens & Ejaculatory Ducts Toggle Vas Deferens & Ejaculatory Ducts menu options.Anatomy & Physiology of Male Reproduction Toggle Anatomy & Physiology of Male Reproduction menu options.Understanding Male Infertility Toggle Understanding Male Infertility menu options.Why Men Won't Go to the Doctor, and How to Change That (Wall Street Journal).The Male Contraceptive Pill - Statement from the Chairman.Priapism Increases the Risk of Cardiovascular and Cerebrovascular Disease in Men.Schlegel comments on the impact of the microbiome on infertility patients Schlegel Responds: The Effect of Antioxidants on Male Factor Infertility Peter Schlegel discusses the use of antioxidants for sperm health with the Wall Street Journal Marc Goldstein speaks with Yahoo News about the increase in vasectomies following the overturn of Roe v. Kashanian Discusses Male Infertility with Time Magazine Goldstein speaks with the Washington Post about the uptick in vasectomies following the overturn of Roe v. Changes in practice patterns in male infertility - a comment from Dr.CBS Mornings' Tony Dokoupin talks about his experience getting a vasectomy.2019 Top Stories in Urology: Infertility and the Risk of Prostate Cancer.News & Updates Toggle News & Updates menu options.Although we observed high incidence of erectile dysfunction or penile curvature with early surgical repair, we retain it as the favored approach.Ĭopyright © 2014 Elsevier Inc. The frequency of concomitant urethral injury was higher than in previous studies. The most common mechanism of penile fracture was from sexual intercourse, and frequent concomitant urethral injuries were observed. One patient reported new irritative voiding symptoms. Nine patients reported new mild erectile dysfunction or penile curvature. The mean follow-up period was 14.3 ± 15.8 weeks. The site of fracture was at the proximal shaft in 11, mid shaft in 12, and distal shaft in 4 patients. Urethral injury was noted in 5 of the 27. Mechanism of injury was intercourse in 26 of 30 fractures with the remaining attributed to masturbation or "rolling over." Immediate surgical repair was offered to all patients. The time from presentation to the initiation of surgery was 5.5 ± 4.4 hours. Twenty-nine patients with 30 separate episodes of penile fractures presenting to the emergency room were identified. Outcomes including erectile dysfunction, penile curvature, and voiding symptoms were evaluated using International Prostate Symptom Score and International Index of Erectile Function scores. Clinical presentation, preoperative evaluation, time from injury, mechanism and site of injury, and presence of urethral injury were assessed. Medical records from Northwestern Memorial Hospital and Oregon Health & Science University from 2002 to 2011 were reviewed. To report a series of penile fractures, describing preoperative evaluation, surgical repair, and long-term outcomes.
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