Penile reconstruction still represents a formidable challenge for the urologist. In this review, the most recent advances in penile reconstruction after trauma, excision of benign and malignant disease and in patients...Penile reconstruction still represents a formidable challenge for the urologist. In this review, the most recent advances in penile reconstruction after trauma, excision of benign and malignant disease and in patients with micropenis, aphallia or female to male gender dysphoria are reported.展开更多
Twenty percent of genital traumas are caused by penetrating injuries; accordingly gunshot and stab wounds have increased in the last couple of years around the globe, even in Colombia. A 67-year-old male patient was a...Twenty percent of genital traumas are caused by penetrating injuries; accordingly gunshot and stab wounds have increased in the last couple of years around the globe, even in Colombia. A 67-year-old male patient was admitted to the emergency room because he received multiple gunshot wounds. On physical examination, multiple wounds on his penis with loss of tissue in the foreskin, glans, anterior urethra(distal third) and cavernous corpora were found. The urologist performed a partial penectomy with a penis reconstruction, he debrided the cutaneous flap of the dorsal foreskin and its glans, sutured the distal cavernous corpora and dissected the urethra. Penetrating genital injuries are extremely important due to their impact on the functional, psychological and the aesthetic consequences. It is necessary to define the best possible treatment to minimize the damage.展开更多
Penile fractures are an uncommon urological emergency.Typically,penile fractures involve the corpus cavernosum and are sometimes associated with urethral injury.Isolated corpus spongiosum and urethral injuries without...Penile fractures are an uncommon urological emergency.Typically,penile fractures involve the corpus cavernosum and are sometimes associated with urethral injury.Isolated corpus spongiosum and urethral injuries without concomitant corpus cavernosum injury are,however,rare.With proper knowledge of the management of penile fractures and urethral injuries,this distinct entity can be diagnosed,assessed and managed successfully without complications.展开更多
目的分析阴茎闭合性外伤的MRI表现,探讨高场MRI对阴茎海绵体外伤的诊断价值。方法12例经证实为阴茎海绵体闭合性外伤患者,患者年龄21~50岁,平均年龄35岁。所有病例均行3.0 T MR扫描及超声检查,结合临床资料回顾性分析磁共振表现。结果1...目的分析阴茎闭合性外伤的MRI表现,探讨高场MRI对阴茎海绵体外伤的诊断价值。方法12例经证实为阴茎海绵体闭合性外伤患者,患者年龄21~50岁,平均年龄35岁。所有病例均行3.0 T MR扫描及超声检查,结合临床资料回顾性分析磁共振表现。结果12例患者均为阴茎勃起状态下暴力致伤,其中暴力性生活9例,手淫2例,撞伤1例。12例阴茎海绵体闭合性损伤中:(1)阴茎海绵体损伤9例,其中2例阴茎海绵体损伤伴海绵体血肿,1例阴茎海绵体损伤伴Buck’s筋膜间少量积血;单侧阴茎海绵体损伤并白膜撕裂7例,双侧1例。MRI表现为阴茎皮下筋膜肿胀,阴茎海绵体局部白膜T1WI/T2WI上正常低信号中断,局部白膜缺损。血肿较大可从破口处疝出。(2)单纯阴茎海绵体血肿2例,表现为阴茎海绵体内斑片T1WI和T2WI低信号,呈慢性血肿改变,增强扫描血肿周围海绵体组织斑片强化。(3)阴茎海绵体白膜与Buck’s筋膜间血肿1例,阴茎局部皮下肿胀,白膜与Buck’s筋膜间可见T1WI和T2WI高信号的小血肿。MR结合小线圈高分辨率成像对12例患者均作出正确诊断;超声检出9例,有2例白膜轻度撕裂和1例阴茎白膜与Buck’s筋膜间小血肿超声未检出,1例白膜撕裂误诊。结论采用3.0 T MR小线圈成像能更好地诊断阴茎闭合性损伤,特别是对微小病变的显示。展开更多
文摘Penile reconstruction still represents a formidable challenge for the urologist. In this review, the most recent advances in penile reconstruction after trauma, excision of benign and malignant disease and in patients with micropenis, aphallia or female to male gender dysphoria are reported.
文摘Twenty percent of genital traumas are caused by penetrating injuries; accordingly gunshot and stab wounds have increased in the last couple of years around the globe, even in Colombia. A 67-year-old male patient was admitted to the emergency room because he received multiple gunshot wounds. On physical examination, multiple wounds on his penis with loss of tissue in the foreskin, glans, anterior urethra(distal third) and cavernous corpora were found. The urologist performed a partial penectomy with a penis reconstruction, he debrided the cutaneous flap of the dorsal foreskin and its glans, sutured the distal cavernous corpora and dissected the urethra. Penetrating genital injuries are extremely important due to their impact on the functional, psychological and the aesthetic consequences. It is necessary to define the best possible treatment to minimize the damage.
文摘Penile fractures are an uncommon urological emergency.Typically,penile fractures involve the corpus cavernosum and are sometimes associated with urethral injury.Isolated corpus spongiosum and urethral injuries without concomitant corpus cavernosum injury are,however,rare.With proper knowledge of the management of penile fractures and urethral injuries,this distinct entity can be diagnosed,assessed and managed successfully without complications.
文摘目的分析阴茎闭合性外伤的MRI表现,探讨高场MRI对阴茎海绵体外伤的诊断价值。方法12例经证实为阴茎海绵体闭合性外伤患者,患者年龄21~50岁,平均年龄35岁。所有病例均行3.0 T MR扫描及超声检查,结合临床资料回顾性分析磁共振表现。结果12例患者均为阴茎勃起状态下暴力致伤,其中暴力性生活9例,手淫2例,撞伤1例。12例阴茎海绵体闭合性损伤中:(1)阴茎海绵体损伤9例,其中2例阴茎海绵体损伤伴海绵体血肿,1例阴茎海绵体损伤伴Buck’s筋膜间少量积血;单侧阴茎海绵体损伤并白膜撕裂7例,双侧1例。MRI表现为阴茎皮下筋膜肿胀,阴茎海绵体局部白膜T1WI/T2WI上正常低信号中断,局部白膜缺损。血肿较大可从破口处疝出。(2)单纯阴茎海绵体血肿2例,表现为阴茎海绵体内斑片T1WI和T2WI低信号,呈慢性血肿改变,增强扫描血肿周围海绵体组织斑片强化。(3)阴茎海绵体白膜与Buck’s筋膜间血肿1例,阴茎局部皮下肿胀,白膜与Buck’s筋膜间可见T1WI和T2WI高信号的小血肿。MR结合小线圈高分辨率成像对12例患者均作出正确诊断;超声检出9例,有2例白膜轻度撕裂和1例阴茎白膜与Buck’s筋膜间小血肿超声未检出,1例白膜撕裂误诊。结论采用3.0 T MR小线圈成像能更好地诊断阴茎闭合性损伤,特别是对微小病变的显示。
