Penile emergencies: two years experience at our centre
DOI:
https://doi.org/10.18203/2320-6012.ijrms20241948Keywords:
Penile injuries, Fracture penis, Priapism, Spontaneous penile gangrene, MyiasisAbstract
Background: Many men with penile injuries opt out of medical treatment for ethical or psychological reasons, which means the true incidence is likely substantially lower than reported. Urgent medical attention is usually required for acute penile illnesses, which are rare but serious. A vascular, viral, or trauma-related event is usually to blame.
Methods: The study was carried out at Narayana medical college in Nellore for a duration of two years, from January 2022 to April 2024.There were four groups vascular group with priapism and spontaneous penile gangrene (n=9) and those with penile fractures, degloving injuries, amputations, and entrapment (n=16) were part of the infected group, whereas patients with penile myiasis were part of the trauma group. The last group consisted of four patients who had paraphimosis.
Results: The results showed that 60% of patients who had penile fractures within 6 hours presented for treatment. Every single patient has a torn tunica and one of them even has urethral involvement. Idiopathic causes 62.5% of the eight cases of priapism, and 37.5% of patients presented within six hours. Aspiration with intra-cavernous phenylephrine was the. If they fail to respond, employ the grey hack and water shunt techniques.
Conclusions: The incidence of penile injuries is underreported; patients may appear to healthcare providers far later than necessary, and this is largely attributable to psychological and ethical factors, such as shame and fear. However, early and rapid management led to better outcomes.
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References
Eke N. Fracture of penis. Br J Surg. 2002;89:555-65.
Penson DF, Seftel AD, Krane RJ, Frohrib D, Goldstein I. The hemodynamic pathophysiology of impotence following blunt trauma to the erect penis. J Urol. 1992;148:1171-80.
Reddy SVK, Shaik AB, Sreenivas K. Penileinjuries: a 10-year experience. Can Urol Assoc J. 2014;8:626-31.
Perovic SV, Djinovic RP, Bumbasirevic MZ, Santucci RA, Djordjevic ML, Kourbatov D. Severe penile injuries: a problem of severity and reconstruction. BJU Int. 2009;104(5):676-87.
Tay YK, Spernat D, Rzetelski-West K, Appu S, Love C. Acute management of priapism in men. BJU Int. 2012;109(3):15-21.
Nicolaisen GS, Melamud A, Williams RD, McAninc JW. Rupture of the corpus cavernosum: Surgical management. J Urol. 1983;130(5):917-9.
Mansi MK, Emran M, El-Mahrouky A, El-Mateet MS. Experience with penile fractures in Egypt: Long-term results of immediate surgical repair. J Trauma. 1993;35(1):67-70.
Van der Horst C, Stuebinger H, Seif C, Melchior D, Martenez-Portillo FJ, Juenemann KP. Priapism- etiology, pathophysiology and management. Int Braz J Urol. 2003;29:301-400.
El-Bahnasawy MS, Dawood A, Farouk A. Low- flow priapism: risk factors for erectile dysfunction. BJU Int. 2002;89:285-90.
Fergany AF, Angermeier KW, Montague DK. Review of Cleveland Clinic experience with penile fracture. Urology. 1999;54(2):352-5.
El-Sherif AE, Dauleh M, Allowneh N, Vijayan P. Management of fracture of the penis in Qatar. Br J Urol. 1991;68(6):622-5.
Orvis BR, McAninch JW. Penile rupture. Urol Clin North Am. 1989;16(2):369-75.
De Stefani S, Stubinski R, Ferneti F, Simonato A, Carmignani G. Penile fracture and associated urethral injury. Scientific World J. 2004;4(1):92-9.
Uygur MC, Gülerkaya B, Altuğ U, Germiyanoğlu C, Erol D. 13 years' experience of penile fracture. Scand J Urol Nephrol. 1997;31(3):265-6.
Moriel EZ, Mehringer CM, Schwartz M, Rajfer J. Cavernous artery obstruction following blunt trauma to the penis. J Urol. 1993;149(3):599-601.
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