Lesiones de pene: reporte de 4 casos

Q4 Medicine

Revista mexicana de urologia Pub Date : 2016-11-01 DOI:10.1016/j.uromx.2016.09.002

S. Casco , E. Soto-Vega , C. Arroyo

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引用次数: 1

Abstract

Introduction

Penile injury is not a frequent finding, perhaps due to anatomic, cultural, and psychologic aspects. Penile lesions can include penile fracture, amputation, penetrating injuries, and soft tissue burns or lacerations, and they are considered surgical emergencies. Not all cases are reported and treatment tends to be delayed because of embarrassment on the part of the patient and the association with intercourse. The most common penile injury is penile fracture. Only 34% of cases are due to violence or trauma; the remaining ones are secondary to sexual activities. There is a lower frequency of injuries to the scrotum and testes.

Aim

The aim of our work was to present four cases of penile injury: penile fracture, penile hematoma, penile skin laceration, and penile necrosis.

Cases

We analyzed the causes, predisposing factors, clinical presentation, treatment, and complications. In all the cases, the patients had adequate response with no complications and benefited from the immediate surgical exploration and repair.

Discussion

Our cases showed sexual activity to be the most common cause of penile injury. It should be underlined that rapid medical intervention is necessary for full resolution of the lesion.

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阴茎损伤:报告4例

阴茎损伤并不常见，可能是由于解剖学、文化和心理方面的原因。阴茎损伤包括阴茎骨折、截肢、穿透性损伤、软组织烧伤或撕裂伤，这些都被认为是外科急诊。并非所有的病例都被报道，而且由于患者的尴尬和与性交有关，治疗往往被推迟。最常见的阴茎损伤是阴茎骨折。只有34%的病例是由暴力或创伤造成的;其余的都是次于性行为的。阴囊和睾丸受伤的频率较低。目的报告4例阴茎损伤:阴茎骨折、阴茎血肿、阴茎皮肤撕裂伤和阴茎坏死。我们分析了病因、易感因素、临床表现、治疗和并发症。在所有病例中，患者反应良好，无并发症，并受益于立即手术探查和修复。讨论我们的病例显示性行为是阴茎损伤最常见的原因。应该强调的是，迅速的医疗干预对于完全解决病变是必要的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Revista mexicana de urologia Medicine-Urology

CiteScore

0.20

自引率

0.00%

发文量

期刊介绍： Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.