음경골절 환자에서 시행한 조기 수술 치료의 장기 성적
Long-Term Results of Immediate Surgical Treatment of Penile Fracture
김민균, 유지형, 성락희, 노충희, 정재용,
소속 상세정보
김민균 ( Kim Min-Gyun )
인제대학교 의과대학 비뇨기과학교실
유지형 ( Yu Ji-Hyeong )
인제대학교 의과대학 상계백병원 비뇨기과학교실
성락희 ( Sung Luck-Hee )
인제대학교 의과대학 비뇨기과학교실
노충희 ( Noh Choong-Hee )
인제대학교 의과대학 비뇨기과학교실
정재용 ( Chung Jae-Yong )
인제대학교 의과대학 비뇨기과학교실
KMID : 0358320090500020165
Abstract
Purpose: Penile fracture is a rare but serious urological condition. Immediate surgical repair is widely accepted as the treatment of choice in penile fracture. The aim of this study is to investigate the long-term outcome of immediate surgical treatment of penile fracture.
Materials and Methods: This is a retrospective study of 12 men with penile fracture who were treated in the Department of Urology, Sanggyepaik Hospital, Seoul, Korea from January 2000 to June 2005. Diagnosis was made clinically and was confirmed by cavernosography in all our patients. All patients underwent immediate surgical repair, within two days after trauma, using a degloving incision. The long term results of the immediate surgical repair were evaluated using questionnaire on outpatient department visiting or telephoning.
Results: The median patient age was 43 years (range, 18 to 57 years). The median follow-up was 32 months (range, 14 to 60 months). Of these patients, 8 (66.7%) patients were injured during sexual intercourse, whereas 4 (33.3%) patients were injured during masturbation. All patients were treated by immediate surgery. All patients reported satisfactory, painless erectile function; two developed penile curvature and one had a penile nodule.
Conclusions: Immediate surgical repair of penile fracture is effective, restores erectile function, and the incidence of complications is low.
키워드
Penis;Fracture;Surgery
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