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To determine the mechanisms predisposing penile fracture as well as the rate of long-term penile deformity and erectile and voiding functions. All fractures were repaired on
Moopan wife sexual dysfunction emergency basis via subcoronal incision and absorbable suture with simultaneous repair of eventual urethral lesion. Detailed history included cause, symptoms, and single-question self-report of erectile and voiding functions.
Among the 44 suspicious cases, 42 Half presented the classical triad of audible crack, detumescence, and pain.
Heterosexual intercourse was the most common cause 28 patients, Immediate surgical treatment warrants long-term very low morbidity. Penile fracture is Moopan wife sexual dysfunction relatively uncommon clinical Moopan wife sexual dysfunction that frequently causes fear and embarrassment for the patient, hypothetically resulting in delayed search for medical assistance, which can lead to an impairment of sexual and voiding functions [ 1 ].
Its incidence and etiologies vary according to geographic region, sexual behavior, marital status, and culture. Kramer pioneering work demonstrated an association between penile fracture and sexual intercourse under stressful situation, but no further information was provided [ 2 ].
This study aims to dissect potential risk factors related to penile fracture occurrence. Additionally, preoperative evaluation, surgical management, and its association with long-term sexual and voiding functions were evaluated. Between January and Marchall patients that presented at three emergency hospitals responsible for most of the surgical emergencies in a metropolitan region consisting of over 3 million inhabitants University of Campinas UNICAMPPontifical Catholic University of Campinas PUCCampinas, and Mario Gatti Municipal Hospital HMMG with clinical suspicion of penile fracture were included in this study, Moopan wife sexual dysfunction the best ethics criteria according to the local ethical committees.
A surgeon at the emergency room first evaluated all patients, and a second evaluation by a urologist was a mandatory request. A single-question self-report of erectile voiding functions was used for all cases with 2 possible answers: If urethral injury was suspected urethral bleeding or urinary retentionevaluation by retrograde urethrogram was performed, without delaying surgical approach.
Doppler Ultrasound was performed in patients with unclear history of trauma or poor clinical findings on physical examination. All patients were managed on an emergency basis by the urologist on duty via immediate subcoronal circumferential degloving incision.
Moopan wife sexual dysfunction defect of the tunica albuginea was closed by 3. In case of concomitant urethral lesion, the defect was repaired simultaneously by
Moopan wife sexual dysfunction absorbable 4. Intraoperative findings were matched with imaging test, and the following aspects were considered: Voiding and erectile functions were evaluated at long term by periodic follow-up and phone call. Forty-four patients were admitted at the three emergency centers with the suspicion of penile fracture, of which 42 The mean age was The presentation time of patients to the hospital after penile fracture ranged from 0.
The mean follow-up after penile trauma was Table 1 shows detailed clinical findings. Heterosexual intercourse was the most common cause of fracture 28 patients, Overall, sixteen patients There was no correlation between injury extension and mechanism sexual position, etc.
At last follow-up, no patient showed urethral fistula, deterioration of voiding, penile nodule, penile pain during intercourse, or clinically significant penile deviation. The rupture of the tunica albuginea of the corpora cavernosa defines penile fracture that occurs with the organ in an erectile position. Although imaging may be required for better evaluation, usually it is unnecessary [ 3 ]. Urethral bleeding and voiding incapacity can be an alert to urethral injury and a retrograde urethrogram should promptly be requested to optimize treatment planning with simultaneous urethral repair during surgery [ 4 ].
Due to its protected location and relative mobility, injuries to the flaccid penis are scarce and with diverse mechanisms such as penetrating and degloving or amputation injuries to the flaccid penis and are beyond the scopes of this study. The present study established for the first time in the literature the relation between sexual position and penile fracture, shedding light on its potential impact on the risk increment.
Kramer in published a case series "Moopan wife sexual dysfunction" 16 patients with penile fracture requiring surgery and an association between this clinical condition and sexual intercourse during stressful situations was verified [ 2 ].
In our report, we found it difficult to apply this information, mostly because a considerable number of patients preferred to keep obscure the circumstances involving the incident. Our hypothesis is that when woman is on top she usually controls the Moopan wife sexual dysfunction with entire body weight landing on the erect penis, not being able to interrupt it when the penis suffers a wrong way penetration, because the harm is Moopan wife sexual dysfunction minor in woman with no pain but major in the penis.
On the contrary, when the Moopan wife sexual dysfunction is controlling the movement, he has better chances of stopping the penetration energy in response to the pain related to the penis harm, minimizing it. It is also important to emphasize that about one-fourth of patients This posture hinders the
Moopan wife sexual dysfunction understanding of factors surrounding penile fracture, mainly potential predisposing mechanisms.
Interestingly, while in Western society vaginal intercourse is
Moopan wife sexual dysfunction main cause, more than half of the reported penile fractures in the Middle East, especially in Iran, are inflated by manual bending of the erected penis to achieve detumescence due to cultural circumstances i.
Additionally, we showed excellent long-term outcomes in terms of maintenance of erectile and voiding functions, in a mean follow-up of Two patients reported erectile dysfunction, representing only 4.
The use "Moopan wife sexual dysfunction" ultrasound US as a diagnosis method is controversial, since anamnesis followed by rigorous physical examination is sufficient in most of the cases that present with a typical history [ 78 ]. However, in some cases, these findings are so subtle that diagnosis can become unclear. In one study, Beysel et al. In the present study, we demonstrated the same accuracy, with only 2 false positive US results in 16 patients. We believe that immediate surgical correction is the best treatment and conservative posture is not an option in our centers.
If urethral injury is suspected, most authors advocate a preoperative retrograde urethrogram. Others advocate flexible cystoscopy in the operating room before inserting the Foley catheter [ 1 ].
It is our perception that surgical exploration is the gold standard to confirm and treat urethral injury and costly imaging methods should not delay surgical treatment in the acute setting. As corpus spongiosum injury almost always occurs at the same level of the corpora cavernosal injury, false negative results will ordinarily be recognized during early surgical exploration, avoiding the later urethral stricture.
The Moopan wife sexual dysfunction work is not free of limitations. Although data were prospectively assessed by periodic follow-up visits in addition to phone calls to complete
Moopan wife sexual dysfunction missed facts, the study holds the limitations of a retrospective analysis, sharing the drawbacks of most studies on the issue.
Also, data regarding erectile and voiding functions were obtained single-question self-report, which was limited to only 2 possible answers: Moreover, information concerning factors related to penile fracture is always obtained by the story that patients tell their doctors.
Striving to improve data quality, future protocols should systematically inform patients about the importance of accurate Moopan wife sexual dysfunction on the subject and also about the precautions to keep their intimacy uncovered aiming at more reliable data.
Social dynamics surrounding penile fracture is still obscure and patients should systematically be informed about the importance of accurate information.
Immediate surgical exploration warrants very low morbidity at even long follow-up. Indexed in Web of Science. Subscribe to Table of Contents Alerts. Table of Contents Alerts. Introduction Penile fracture is a relatively uncommon clinical condition that frequently causes fear and embarrassment for the patient, hypothetically resulting in delayed search for medical assistance, which can lead to an impairment Moopan wife sexual dysfunction sexual and voiding functions [ 1 ].
Patient and Methods Between January and Marchall patients that presented at three emergency hospitals responsible for most of the surgical emergencies in a metropolitan region consisting of over 3 million inhabitants University of Campinas UNICAMPPontifical Catholic University of Campinas PUCCampinas, and Mario Gatti Municipal Hospital HMMG with clinical suspicion of penile fracture were included in this study, following Moopan wife sexual dysfunction best ethics criteria according to the local ethical committees.
Results Table 1 shows detailed clinical findings. View at Google Scholar M. View at Google Scholar G. View at Google Scholar J. “Woman on
Moopan wife sexual dysfunction was the potentially riskiest sexual position (50%).
Only two ( %) patients had erectile dysfunction, one of them treated by penile. C. Kamdar, U. M. M. Mooppan, H. Kim, and F. A. Gulmi, “Penile fracture. There is paucity of data regarding long-term sexual function or erectile potency following fracture of the penis. to objectively assess the overall sexual function following fracture . Kamdar C, Mooppan UM, Kim H, et al. It has previously been suggested  that the 'woman on top' position is more likely.
18 Zargooshi J. Sexual function and tunica albuginea wound can lead to J Sex Med ;10(1)–9. 14 Kamdar C, Mooppan UMM, Kim H, Gulmi FA.