Objective:
The aim of this study was to evaluate and analyze usefulness of lateral incision approach in patients of fracture penis.
Subjects and Methods:
The patients were prospectively assessed between 2006 and 2012.The diagnosis was achieved by history and clinical examination in 67 patients while as Ultrasound (US) was performed in 4 cases and retrograde urethrocystogram was performed in 5 patients with suspicion urethral injury.
Results:
All the patients underwent surgical exploration within 24 hours of admission. Lateral incision approach was used in all of the 67 patients in whom defect could be located using Rolling Sign technique. However, 3 patients needed to be converted to conventional degloving technique owing to failure of locating defect. 4 patients needed radiological techniques to determine the site of defect and corresponding lateral incision.
Conclusions:
Penile fracture is an entity of eminently clinical diagnosis, management should be surgical and immediate, avoiding thus complications related to erectile dysfunction. We recommend lateral incision technique for surgical repair of fractured penis due to simplicity, early recovery, minimal complications and cosmesis.
Key words: Penis, Fracture, lateral technique
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