Management of Penile Curvature Combined with Impotence and Complete Urethral Stricture after Pelvic Trauma.
- Author:
Young Bu KIM
1
;
Joon Youp LEE
;
Do Young CHUNG
;
Hyun Soo AHN
;
Se Joong KIM
;
Young Soo KIM
Author Information
1. Department of Urology, Ajou University College of Medicine, Suwon, Korea. doyoung@madang.ajou.ac.kr
- Publication Type:Case Report
- Keywords:
Penile curvature;
Impotence;
Pelvic trauma
- MeSH:
Alprostadil;
Coitus;
Erectile Dysfunction*;
Humans;
Male;
Papaverine;
Urethral Stricture*
- From:Korean Journal of Andrology
2000;18(2):157-160
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
After pelvic trauma, complications of urethral stricture and organic impotence may develop. Certain cases of these are combined with penile curvature, which treatment method of artificial erection alone is not suitable, because severe penile pain may occur during erection, Therefore proper surgical methods should be added for straightening the penile curvature. After pelvic trauma, complete urethral stricture and organic impotence with penile curvature developed in 3 patients who complained severe pain due to curvature during the intracavernosal injection test. To all, treatment of choice for complete urethral sticture was visual internal urethrotomy for prevention of further development of curvature, and for curvature, Nesbit's penile straightening operations were performed, one by one. All patients could well urinate and enjoy their sexual intercourse after intracavernosal injection of PGE1 or papaverine. We recommend visual internal urethrotomy and the Nesbit's operation as effective methods to treat the case of penile curvature combined with complete urethral stricture after pelvic trauma.
