|LETTER TO THE EDITOR
|Year : 2019 | Volume
| Issue : 2 | Page : 84
Commentary from readers: Penile fracture management
Beuy Joob1, Viroj Wiwanitkit2
1 Sanitation 1 Medical Academic Center, Bangkok, Thailand
2 Medical Center Unit, Dr. DY Patil University, Pune, Maharashtra, India
|Date of Submission||21-Dec-2018|
|Date of Decision||21-Dec-2018|
|Date of Acceptance||27-Dec-2018|
|Date of Web Publication||28-Mar-2019|
Sanitation 1 Medical Academic Center, Bangkok
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Joob B, Wiwanitkit V. Commentary from readers: Penile fracture management. Urol Sci 2019;30:84
We read the publication on “A tertiary center experience of fracture penis: Early surgical management with a clinical diagnosis” with a great interest. Kumar et al. concluded that “History and clinical examination clinch the diagnosis. Considering it as a urological emergency, radiological imaging is not required routinely.” We agree that the clinical diagnosis by history taking and physical examination is an important part for diagnosis. Nevertheless, the role of imaging investigation should be discussed. Without imaging investigation, the diagnosis of exact site of lesion might be impossible. A recent report shows that the CT investigation can provide good identification of lesion and allow further minimally invasive surgical management of the case. As noted by Hasali et al., “the proper diagnosis by imaging studies and taking actions accordingly can save the patients from unnecessary surgeries that indeed increase the bill of the medical care directly and indirectly.”
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Conflicts of interest
There are no conflicts of interest.
| References|| |
Kumar L, Tiwari R, Arya MC, Sandhu A, Vasudeo V, Baid M. A tertiary center experience of fracture penis: Early surgical management with a clinical diagnosis. Urol Sci 2018;29:298-302. [Full text]
Yan C, Liang BX, Huang HB, Liang BR, Zhou Z, Wang LJ, et al.
CT-guided minimally-invasive penile fracture repair. Int Braz J Urol 2018. Doi: 10.1590/S1677-5538.IBJU.2018.0525. [Epub ahead of print].
Hassali MA, Nouri AI, Hamzah AA, Verma AK. Role of penile Doppler as a diagnostic tool in penile fracture. J Med Ultrasound 2018;26:48-51.
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