Abstract

NUNEZ ROCA, Ariel et al. Penile fracture: Study of 10 years. Rev Cub Med Mil [online]. 2010, vol.39, n.3-4, pp. 200-206. ISSN 1561-3046.

INTRODUCTION: The penile fracture is very frequent during the coitus when the organ is in erection undergoes a sudden flexion. OBJECTIVES: To describe the features of presentation and its entity characteristics, as well as its diagnostic and treatment. METHODS: A descriptive study was conducted from the medical records of 25 patients admitted in the Urology Service of the "Dr. Carlos J. Finlay" Military Hospital from January, 1997 to December, 2006 diagnosed with penile fracture. The variables described were: age, symptoms and signs, causal agents, diagnostic means used, applied treatment and present complications. RESULTS: There was predominance of ages from 26 to 44 years with the 565. The major symptom was a penile hematoma in the 100 % of cases and the more frequent cause was the trauma during coitus in the 68 %. In the 24% of patients it was necessary the penile single echography or Doppler to verify the diagnosis; surgical treatment was applied in the 72 % of patients. The complications were present in the non-operated on cases including fibrosis of cavernous bodies and an erectile sexual dysfunction. CONCLUSIONS: The penile fracture occurs mainly during the coitus. The clinical symptomatology is very important for diagnosis. If there are doubts the single echography or Doppler is very useful. The surgical treatment is the more appropriate to avoid sequelae in these patients.

Keywords : Penis; trauma; sexual dysfunction.