RESULTS OF PENIS FRACTURE SURGERY AT THAI BINH PROVINCE GENERAL HOSPITAL

Thái Phúc Trần , Ngọc Thắng Lại

Main Article Content

Abstract

Objective: Evaluate the results of penile fracture surgery at Thai Binh Provincial General Hospital. Methods: A cross-sectional descriptive study was conducted on 31 penile fracture patients treated surgically at Thai Binh Provincial General Hospital from 2018-2022. Record variables: Age, cause, injury characteristics, surgical characteristics, early post-operative results and re-examination results. Results: Mean age was 38.5 ± 11.3 years. 70.9% of the causes of cavernosal rupture are due to intercourse. 100% of Doppler ultrasound cases show images of hematoma in the penis. 67.7% ruptured the right cavernous body. 80.6% of lesions are at the base of the penis. 35.5% of white shells are torn > 2cm. 100% of cases received spinal anesthesia. 100% skin incision along the shaft of the penis. The average surgery time was 37.5 ± 12.3 minutes. The average hospital stay after surgery was 3.8 ± 1.7 days. There were no complications after surgery. 100% good results. 93.6% had no erectile dysfunction after surgery. Conclusion: Surgery to treat penile fractures at Thai Binh Provincial General Hospital gives good results. 93.6% had no erectile dysfunction after surgery.

Article Details

References

1. Trần Quán Anh, Nguyễn Quang (2007), Vỡ vật hang, Bệnh học tiết niệu. NXB Y học, Hà Nội, tr. 173-182
2. Hoàng Đình Nội (1996), Nghiên cứu hình thái thương tổn và kết quả điều trị phẫu thuật vỡ vật hang tại bệnh viện Việt Đức, luận văn thạc sỹ y học, Đại Học Y Hà Nội.
3. Tan LB., Chiang CP., Huang CH. et al. (1991). “Traumatic rupture of the corpus cavernosum”. Br J Urol,68(6):626-8.
4. Rhoden EL., Telöken C., Sogari PR. et al (2002). The use of the simplified International Index of Erectile Function (IIEF-5) as a diagnostic tool to study the prevalence of erectile dysfunction. Int J Impot Res. 2002 Aug;14(4):245-50. doi: 10.1038/sj.ijir.3900859. PMID: 12152112.
5. Jens M, Rajewsky N. (2015). “Competition between target sites of regulators shapes post-transcriptional gene regulation”. Nat Rev Genet. Feb; 16(2):113-26.
6. Benchekroun A., Lachkar A., Soumana A., et al (1998). “Rupture of the corpora cavernous 50 cases”. Ann Urol (Paris). 32(5):315-9.
7. Gory S., Vernet M., Laurent M., et al (1999). “The vascular endothelial-cadherin promoter directs endothelial-specific expression in transgenic mice”. Blood. Jan 1;93(1):184-92.
8. Kara N., Morel Journel N., Badet L. et al (2018). 332 Management and Outcomes of Penile Fracture: A Ten Year Multicentric Study. The Journal of Sexual Medicine, Volume 15, Issue Supplement_3, July 2018, Page S259, https://doi.org/10.1016/j.jsxm.2018.04.295