陰茎折症の1例 -本邦138例の臨床的検討-

Abstract

A case of fracture of the penis was experienced. A 26-year-old man, unmarried, was urinating under the slate of morning erection and noticed a cracking sound at his penis followed by painful swelling of it. Under the diagnosis of fracture of the penis, an emergency surgery was performed under spinal anesthesia. A laceration was found at the tunica albuginea of the corpus cavernosum and on the right-side was successfully repaired. Postoperative course was uneventful and his sexual potency remained perfectly normal. 138 cases of fracture of the penis could be reviewed from the Japanese literature, 1934 to 1978. A discussion was made on pathogenesis, diagnosis, treatment and prognosis. An early surgical treatment seems to be mandatory to avoid morphologic and functional sequela.