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Table of Contents
LETTER TO THE EDITOR
Year : 2019  |  Volume : 30  |  Issue : 2  |  Page : 85

Re: A tertiary center experience of fracture penis – A clinical diagnosis


Department of Urology, Sardar Patel Medical College, Bikaner, Rajasthan, India

Date of Submission14-Jan-2019
Date of Decision16-Jan-2019
Date of Acceptance17-Jan-2019
Date of Web Publication28-Mar-2019

Correspondence Address:
Lalit Kumar
Flat No. 102, Tower A1, Unitech the Residencies, Sector 33, Gurgaon, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/UROS.UROS_3_19

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How to cite this article:
Kumar L, Arya M C. Re: A tertiary center experience of fracture penis – A clinical diagnosis. Urol Sci 2019;30:85

How to cite this URL:
Kumar L, Arya M C. Re: A tertiary center experience of fracture penis – A clinical diagnosis. Urol Sci [serial online] 2019 [cited 2019 Aug 19];30:85. Available from: http://www.e-urol-sci.com/text.asp?2019/30/2/85/255164



Dear Editor,

We would like to express thanks for reading our article with great interest and for taking the time to raise specific concerns. Weee with your comments that the role of imaging investigation in penile fracture should be discussed. As the primary goal of our study was not to evaluate the efficacy of imaging in penile fracture, so it was not discussed in detail. We acknowledge your concerns regarding the usefulness of radiological imaging. We mentioned in our article that imagings such as ultrasonography (USG), magnetic resonance imaging, computed tomography, cavernosography, or urethrography may be required for better evaluation in clinically suspicio s cases, and usually, it is unnecessary.[1]

The use of USG as a routine diagnostic method is also controversial. In one study, Beysel et al. noticed USG inaccuracy of 15% of patients in a series of 13 cases.[2] Considering penile fracture a urological emergency, we believed in urgent exploration based on the clinical diagnosis. As similarly described by Amit et al. and Reis et al., we went for immediate exploration without wasting money and time on investigations.[3],[4] Although your queries are based on case reports, we still agree that the use of radiological imaging may save the patients from unnecessary surgeries in equivocal cases. However, we also stick to our point that imagings should not be used routinely in penile fracture management as described in a standard textbook and in a recent article by Naouar et al.[5],[6]

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Sawh SL, O'Leary MP, Ferreira MD, Berry AM, Maharaj D. Fractured penis: A review. Int J Impot Res 2008;20:366-9.  Back to cited text no. 1
    
2.
Beysel M, Tekin A, Gürdal M, Yücebaş E, Sengör F. Evaluation and treatment of penile fractures: Accuracy of clinical diagnosis and the value of corpus cavernosography. Urology 2002;60:492-6.  Back to cited text no. 2
    
3.
Amit A, Arun K, Bharat B, Navin R, Sameer T, Shankar DU, et al. Penile fracture and associated urethral injury: Experience at a tertiary care hospital. Can Urol Assoc J 2013;7:E168-70.  Back to cited text no. 3
    
4.
Reis LO, Cartapatti M, Marmiroli R, de Oliveira Júnior EJ, Saade RD, Fregonesi A, et al. Mechanisms predisposing penile fracture and long-term outcomes on erectile and voiding functions. Adv Urol 2014;2014:768158.  Back to cited text no. 4
    
5.
Morey AF, Zhao LC. Genital and lower urinary tract trauma. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, editors. Campbell-Walsh Urology. 11th ed. Philadelphia: Elsevier; 2016. p. 2379-80.  Back to cited text no. 5
    
6.
Naouar S, Boussaffa H, Braiek S, Kamel RE. Management of penile fracture: Can it wait? Afr J Urol 2018;24:56-9.  Back to cited text no. 6
    




 

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