Penile refracture: a preliminary report

Vol. 44 (4): 800-804, July – August, 2018

doi: 10.1590/S1677-5538.IBJU.2018.0124


ORIGINAL ARTICLE

Rodrigo Barros 1, Matheus Guimarães 1, César Nascimento Jr. 1, Luis Rogério Araújo 1, Leandro Koifman 1, Luciano Alves Favorito 2, 3
1 Hospital Municipal Souza Aguiar, Rio de Janeiro , RJ, Brasil; 2 Universidade do Estado do Rio de Janeiro, UERJ, Rio de Janeiro, RJ, Brasil; 3 Serviço de Urologia do Hospital Federal da Lagoa, Rio de Janeiro , RJ, Brasil

ABSTRACT

Objective: To report our institutional experience with penile refracture, including demographic data, recurrence time, etiology and operative findings in the first and second episodes.

Materials and methods: Between January 1982 and September 2017, 281 patients underwent surgical treatment for penile fracture (PF) at our institution. Demographic data, clinical presentation, besides operative findings and follow-up of patients with relapsed PF were retrospectively assessed by reviewing medical records.

Results: Of a total of 281 cases of PF operated at our institution, 3 (1.06%) patients experienced two episodes of trauma. Age ranged from 38 – 40 years (mean: 39.3). The recurrence time varied from 45 to 1560 days (mean: 705). Two patients presented the new fracture episode at the same site of the previous lesion, while in the other case the lesion was observed at another site.

Conclusion: Recurrent FP is an extremely rare entity. The risk factors for its occurrence are still unknown. Although the lesion of the corpus cavernosum ipsilateral to the scar tissue of the prior FP is more common, contralateral rupture may be present. Nevertheless, prospective studies with larger samples should be conducted.

Keywords: Penis; etiology [Subheading]; Diagnostic Techniques, Surgical

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