篇名 | Fractures of the Penis-An Experience of Four Years |
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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 fracture 、 tunica albuginea 、 cavernosography 、 TSCI |
出刊日期 | 199206 |
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。
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.