Cavernous body fracture is a rare urological emergency. Its association with complete rupture of the urethra remains exceptional. This is a report of simultaneous penile fracture and complete rupture of the urethra fo...Cavernous body fracture is a rare urological emergency. Its association with complete rupture of the urethra remains exceptional. This is a report of simultaneous penile fracture and complete rupture of the urethra following a misstep in coitus. It is about a 41-year-old young adult, admitted to the surgical emergency department of the University Hospital of Bouaké on March 2, 2020 for penile pain associated with acute retention of urine. The clinical examination confirmed the diagnosis of a corpus cavernosa fracture associated with a ruptured urethra. The patient underwent cystostomy, right cavernoraphy and urethrorrhaphy. The postoperative follow-up was straightforward and the patient was discharged from the hospital on D3 postoperatively. The urethral catheter was removed on D21 postoperatively. With a follow-up of 1 year, the patient presents a good erection and does not report any voiding disorder.展开更多
<strong>Objective: </strong>To report the diagnostic aspects and the therapeutic difficulties of this disease, to contribute to the prevention and screening of this cancer and propose a diagnostic, therape...<strong>Objective: </strong>To report the diagnostic aspects and the therapeutic difficulties of this disease, to contribute to the prevention and screening of this cancer and propose a diagnostic, therapeutic and psychological management of penile cancer of patients at Bouaké University Hospital Center based on a short series of three (03) observations. <strong>Patients and Method:</strong> Over a period of five years (January 2012 to December 2017), we collected three (03) cases of cancer of the penis. <strong>Results: </strong>A total of three (03) cases of epidermoidal carcinoma of the penis were diagnosed. The average age of the patients is [52 years], all of them of low socio-economic level. Two (02) patients (n = 2) categorically refused surgical treatment (penile amputation) and one (01) patient was lost to follow-up. Two patients are currently deceased. <strong>Conclusion:</strong> Penile cancer has been an aggressive tumor with a pejorative prognosis, due to the delay of consultation in our underdeveloped countries. Patients consult late but above all refuse any idea of surgical treatment on the penis. The effort to be made is to insist on the prevention and screening of penile precancerous lesions by an adequate training of urban medical staff by a squad of specialists (urologists, oncologists and dermatologists).展开更多
文摘Cavernous body fracture is a rare urological emergency. Its association with complete rupture of the urethra remains exceptional. This is a report of simultaneous penile fracture and complete rupture of the urethra following a misstep in coitus. It is about a 41-year-old young adult, admitted to the surgical emergency department of the University Hospital of Bouaké on March 2, 2020 for penile pain associated with acute retention of urine. The clinical examination confirmed the diagnosis of a corpus cavernosa fracture associated with a ruptured urethra. The patient underwent cystostomy, right cavernoraphy and urethrorrhaphy. The postoperative follow-up was straightforward and the patient was discharged from the hospital on D3 postoperatively. The urethral catheter was removed on D21 postoperatively. With a follow-up of 1 year, the patient presents a good erection and does not report any voiding disorder.
文摘<strong>Objective: </strong>To report the diagnostic aspects and the therapeutic difficulties of this disease, to contribute to the prevention and screening of this cancer and propose a diagnostic, therapeutic and psychological management of penile cancer of patients at Bouaké University Hospital Center based on a short series of three (03) observations. <strong>Patients and Method:</strong> Over a period of five years (January 2012 to December 2017), we collected three (03) cases of cancer of the penis. <strong>Results: </strong>A total of three (03) cases of epidermoidal carcinoma of the penis were diagnosed. The average age of the patients is [52 years], all of them of low socio-economic level. Two (02) patients (n = 2) categorically refused surgical treatment (penile amputation) and one (01) patient was lost to follow-up. Two patients are currently deceased. <strong>Conclusion:</strong> Penile cancer has been an aggressive tumor with a pejorative prognosis, due to the delay of consultation in our underdeveloped countries. Patients consult late but above all refuse any idea of surgical treatment on the penis. The effort to be made is to insist on the prevention and screening of penile precancerous lesions by an adequate training of urban medical staff by a squad of specialists (urologists, oncologists and dermatologists).
