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中華民國泌尿科醫學會雜誌

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篇名 Fractures of the Penis-An Experience of Four Years
卷期 3:2
並列篇名 陰莖折損-四年的經驗回顧
作者 葉文孟張士三楊慶鏘
頁次 780-783
關鍵字 penile fracturetunica albugineacavernosographyTSCI
出刊日期 199206

中文摘要

自1988年至1991年,12位陰莖折損的病人接受治療。所有的患者在2至7小時內接受手術。外科手術包括徹底的血塊清除與破損陰莖白膜的搔括及修補。住院日數為2至4天。沒有出現顯著的術後併發症。在追蹤治療期間(13至25個月),除了一位病人之外,其餘皆能達到無痛性勃起。只有一位患者有局部的小腫塊,但不影響其性生活。我們建議早期外科手術治療陰莖折損以避免勃起衰竭或彎曲,這兩者是保守治療的典型後遺症。我們至個系列中並沒有相關的尿道損傷出現。

英文摘要

From 1988 to 1991, 12 patients with penile fractures were treated. All of these patients were operated on between 2 and 7 hours. The sugery consists of complete evacuation of hematoma, curettage repair of the ruptured tuuica albuginea. The hospital stay were 2 to 4 days. No significant post-operative complication was found. In the follow-up period (13 to 25 months), all but one patients stated that they were achieving normal erections. Only patient developed a small penile plaque, but this did not qffect his sexual activities. We recommend early surgical intervention for penile fracture to avoid erectile fail-ure and curvature, which are typical complications of conservative treatment. No asso-ciated urethral injury was found in our series.

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