Urethral injury in penile fracture: a narrative review
Título del documento: Urethral injury in penile fracture: a narrative review
Revista: International braz j urol
Base de datos: PERIÓDICA
Número de sistema: 000434649
ISSN: 1677-5538
Autores: 1
1
1
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2
Instituciones: 1Universidade Federal Fluminense, Departamento de Urologia, Niteroi, Rio de Janeiro. Brasil
2Universidade Estadual do Rio de Janeiro, Unidade de Pesquisa Urogenital, Rio de Janeiro. Brasil
Año:
Periodo: Mar-Abr
Volumen: 46
Número: 2
País: Brasil
Idioma: Inglés
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Objective To present the evolution and the recent data on the etiology, diagnosis, management and outcomes of penile fracture (PF) with concomitant urethral injury. Materials and Methods We searched the Pubmed database between 1998 and 2019 using the following key words: “penile fracture”, “fracture of penis”, “trauma to penis”, “rupture of corpora cavernosa”, “urethral injury”, “urethral rupture” and “urethral reconstruction”. Results The incidence of urethral lesion in patients with PF varies by geographic region and etiology. Blood in the meatus, hematuria and voiding symptoms are highly indicative of urethral rupture. The diagnosis of PF is eminently clinical and complementary exams are not necessary. The treatment consists of urethral reconstruction and the most common complications found are urethral stenosis and urethrocutaneous fistula. Conclusion PF is an uncommon urological emergency, particularly in cases with urethral involvement. Urethral injury should be suspected in the presence of suggestive clinical signs, and diagnosis is usually clinical. Urgent urethral reconstruction is mandatory and produces satisfactory results with low levels of complications
Disciplinas: Medicina
Palabras clave: Urología,
Traumatología,
Fracturas,
Pene,
Estenosis uretral
Keyword: Urology,
Traumatology,
Fractures,
Penis,
Urethral stenosis
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