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2015 ; 7
(3
): 284-8
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gab.com Text
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English Wikipedia
Alteration in the etiology of penile fracture in the Middle East and Central Asia
regions in the last decade; a literature review
#MMPMID26229311
Majzoub AA
; Canguven O
; Raidh TA
Urol Ann
2015[Jul]; 7
(3
): 284-8
PMID26229311
show ga
Penile fracture is a well-recognized, relatively uncommon medical condition and
its etiology differs according to geographic area. In this review article, we
evaluated literature reported in the past decade, aiming to verify whether there
has been any change in the etiology of this condition. A literature review was
done for studies published in the past 10 years and focusing on the etiology of
penile fracture. Inclusion criteria comprised articles in English language, of
sample size more than 10 patients and originating from the Middle East and
Central Asia. Data relating to the studied population, etiology of penile
fracture, clinical presentation, investigations, management, and outcome was
analyzed. One thousand six hundred and twenty-nine patients from 21 original
articles were included in the study. The mean age ± standard deviation of the
patients was 33.3 ± 3.23 years. Etiologies of penile fracture were vigorous
sexual intercourse, manual bending of erect penis, vigorous masturbation, rolling
over in bed and blunt trauma in 41%, 29%, 10%, 14% and 6% patients, respectively.
Treatment choices were surgery and conservative, in 1580 (95%), 83 (5%) patients,
respectively. A higher incidence of complications was found in conservatively
treated patients. As a conclusion, in the last 10 years, vigorous sexual
intercourse was the commonest etiology of penile fracture in the Middle East and
Central Asia regions. Surgery remains the preferred treatment option for patients
diagnosed with penile fracture.