■阴茎骨折,虽然罕见,由于其潜在的严重后果,需要紧急手术治疗。此病例报告说明了及时,全面的影像学检查与手术探查在治疗双阴茎骨折的延迟表现中的重要性。
方法:一名27岁男性在睡眠时阴茎受伤,创伤后36小时提交给我们的部门。他的临床症状包括明显的阴茎肿胀,偏差,和特征的“茄子”畸形。超声检查显示阴茎底部广泛的皮下水肿和大量血肿,白膜破裂。手术探查发现海绵体有两个明显的骨折,已成功修复。患者经历了快速且无并发症的恢复,在四天内恢复完整的勃起功能。
■该病例强调了阴茎骨折的解剖复杂性。尽管延误了求医,结果是有利的,挑战立即手术对于避免长期并发症至关重要的观念。文献表明,延迟手术可能不会显著影响长期结果,尤其是在没有尿道受累的情况下,我们的案例调查结果支持的观点。
结论:阴茎骨折需要细致的诊断和治疗方法。该案例表明,尽管立即进行手术干预是理想的,在某些条件下,延迟修复也可能导致积极的结果。该报告有助于越来越多的证据表明,有可能重新评估当前的阴茎骨折治疗临床指南。
UNASSIGNED: Penile fractures, though rare, demand urgent surgical attention due to their potentially severe consequences. This
case report illustrates the significance of prompt and comprehensive imaging with surgical exploration in managing a delayed presentation of a double
penile fracture.
METHODS: A 27-year-old male sustained a penile injury during sleep, presenting to our department 36 h post-trauma. His clinical symptoms included significant penile swelling, deviation, and the characteristic \'eggplant\' deformity. Ultrasonography revealed extensive subcutaneous edema and a substantial hematoma at the penile base, with a disruption in the tunica albuginea. Surgical exploration identified two distinct fractures in the corpora cavernosa, which were successfully repaired. The patient experienced a rapid and complication-free recovery, regaining full erectile function within four days.
UNASSIGNED: This
case underlines the anatomical complexity of
penile fractures. Despite the delay in seeking medical attention, the outcome was favorable, challenging the notion that immediate surgery is crucial for avoiding long-term complications. The literature suggests that delayed surgery might not significantly impact long-term outcomes, especially in the absence of urethral involvement, a perspective supported by our
case findings.
CONCLUSIONS: Penile fracture requires a nuanced approach to diagnosis and treatment. The
case demonstrates that while immediate surgical intervention is ideal, delayed repair can also result in positive outcomes under certain conditions. This report contributes to the growing body of evidence suggesting the potential for re-evaluating current clinical guidelines for penile fracture management.