Older age and a large tunical tear may be predictors of increased erectile dysfunction rates following penile fracture surgery.
Journal
International journal of impotence research
ISSN: 1476-5489
Titre abrégé: Int J Impot Res
Pays: England
ID NLM: 9007383
Informations de publication
Date de publication:
Mar 2020
Mar 2020
Historique:
received:
21
12
2018
accepted:
20
04
2019
revised:
14
01
2019
pubmed:
6
6
2019
medline:
1
12
2020
entrez:
6
6
2019
Statut:
ppublish
Résumé
Penile fracture is a rare urological occurrence resulting from a tear in the tunica albuginea of the penis. In this study, 26 patients diagnosed with a penile fracture were treated with early surgical correction. The mean age at the time of the injury was 41.7 years. The average follow-up time of the study population was 28.8 months. The mean time from fracture to surgery was 15.6 ± 19.9 h. In total, 23% of the patients had a penile nodule and 11.5% of these patients reported penile deviation. Post surgery, erectile dysfunction (ED) was present in nine (34.6%) patients. During the follow-up, the mean International Index of Erectile Function (IIEF-5) score was 20.9 ± 4.3 (10-25). There was no significant difference in the time from fracture to surgery among the patients with or without ED. However, the tunical tear size was significantly larger in the patients with ED as compared with those without ED. Furthermore, the patients with ED were older than those without ED. Older age and the size of the tunical tear appeared to be correlated with the development of ED. However, prospective large series are needed to confirm these results.
Identifiants
pubmed: 31165779
doi: 10.1038/s41443-019-0159-2
pii: 10.1038/s41443-019-0159-2
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
226-231Commentaires et corrections
Type : CommentIn
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