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Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 07
An Evaluation of Lateral Incision Approach to Penile Fracture
Dr. Goutom Kumar Ghosh, Dr. Md. Sherajul Islam, Dr. Shyamal Kumar Bashak, Dr. KH. Mehedi Ibnay Mostfa, Dr. A S M Kutub Uddin Awal, Dr. Md Majedul Islam, Dr. Raju Ahmed
Published: July 30, 2019 | 81 62
DOI: 10.36347/sjams.2019.v07i07.039
Pages: 2476-2479
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Abstract
Introduction: Penile fracture is a rare, but underreported, general surgical/urological emergency caused by a blunt trauma to the penis leading to rupture of the tunica Albuginea of the corpus cavernous. Lateral Incision Approach (LIA) is a widely used method in the treatment of Penile Fracture. Objective: The main objective of this study was to evaluate and analyze the effectiveness of the lateral incision approach in treating the patients of the fractured penis. Methods: The prospective study was conducted in the department of 250 Bedded General Hospital, Pabna, Bangladesh during the period from January 2016 to December 2018. Maintaining the proper inclusion and exclusion criteria deducting the data of irregular respondents 65 participants were finalized as total study population. Results: All the patients underwent surgical exploration within 24 hours of admission. Lateral incision approach was used in all of the 65 patients in whom defect could be located using Rolling Sign technique. However, 2 patients needed to be converted to conventional degloving technique owing to failure of locating defect. In total 3 patients needed radiological techniques to determine the site of defect and corresponding lateral incision. Conclusions: The findings of this study were some good indicators in favor of lateral incision technique for the treatment of penile fracture. So we would like to recommend using lateral incision technique for surgical repair of the fractured penis due to simplicity, early recovery, minimal complications and better patient’s compliance.