title: [Surgical treatment of penil fractures].
abstract: BACKGROUND
  Patients diagnosis as penil fracture and treated with surgical methods were evaluated retrospectively between January 1990-February 2002.
  
  
  METHODS
  Patients were evaluated by age, trauma type, time passed after the trauma, physical examination and radiologic data.
  
  
  RESULTS
  The cause of trauma was blunt trauma in all patients. 14 trauma (60.8%) were during sexual activity, 6 trauma (26%) were during handling the erective penis in morning erection, 3 of trauma (13%) were due to the rolling on to the penis. Urethral bleeding was seen in 1 patient and microscopic hematuria was detected in 5 patients. Subcoronal circular incision was carried out in 16 patients (69.5%), semicircular incision was done directly on the injury in 6 patients (26%) and from penis radix to scrotum was done in 1 patient (4.3%). There was unilateral corpus cavernosum injury in 21 patients. Bilateral corpus cavernosum injury in 1 patient, corpuscavernosum, corpus spongiosum and incomplent urethral injury in 1 patient. Wound infection was detected only in 2 patients at postoperatively early period. After evaluating 20 patients with medical history and physical examination in postoperative control penil curvature permitting sexual activity was detected in 3 patients.
  
  
  CONCLUSIONS
  We concluded that patients with penil fracture may be treated with low complication rate by early surgical procedure.
authors.affiliation: Cumhuriyet Universitesi,Tip Fakültesi, Uroloji Anabilim Dali, Sivas, Turkey. hkilic@cumhuriyet.edu.tr
authors.forename: Hakan
authors.initials: H
authors.lastname: Kiliçarslan
authors.forename: Gökhan
authors.initials: G
authors.lastname: Gökçe
authors.forename: Kemal
authors.initials: K
authors.lastname: Kaya
authors.forename: Semih
authors.initials: S
authors.lastname: Ayan
authors.forename: Yener E
authors.initials: YE
authors.lastname: Gültekin
mesh_terms: D000293:Adolescent; D000328:Adult; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D010413:Penis / Q000293:injuries* / Q000601:surgery*; D011183:Postoperative Complications; D012189:Retrospective Studies; D012421:Rupture; D014421:Turkey / Q000453:epidemiology; D014521:Urethra / Q000293:injuries / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000453:epidemiology* / Q000209:etiology* / Q000601:surgery