Archivos Españoles de Urología (Ed. impresa)
versión impresa ISSN 0004-0614
RESTREPO, Jaime Alejandro; GONZALO ESTRADA, Carlos; ANDRES GARCIA, Herney y CARBONELL, Jorge. Clinical experience in the management of penile fractures at Hospital Universitario del Valle (Cali - Colombia). Arch. Esp. Urol. [online]. 2010, vol.63, n.4, pp.291-295. ISSN 0004-0614.
Objectives: The main objective of this study was to describe the clinical characteristics of patients diagnosed with penile fracture in the Hospital Universitario del Valle (Cali, Colombia). Methods: A descriptive study, reviewing all the medical records of patientsdiagnosed with penile fracture from January 2001 to December 2008 at Hospital Universitario del Valle (HUV) in Cali. It took into account variables related to urological history, etiology, diagnosis, the surgical treatment and follow-up. Univariate analysis was performed with the statistical program STATA v. 10.1 Results: There were 18 cases of penile fracture with an average age of 30 years. 11 patients (61%) had episodes related to intercourse. Patients presented swelling, pain and popping or cracking sound. The diagnosis was done by history and physical examination in 100%. Surgery was performed with a subcoronal incision in most of the patients. The right corpus cavernosum was frequently injured and corrected with absorbable suture. The patients had an average of 1.5 days of postoperative hospital stay. Conclusions: Penile fracture is an entity the diagnosis of which is straightforward and can be reliable by history and physical examination. Surgical repair is the treatment of choice preventing complications, allowing the patient to return to satisfactory sexual life.
Palabras clave : Penile fracture; Corpora cavernosa; Urethra; Penis.