PENÝSÝN KÜNT VE PENETRAN YARALANMALARI

Bu çalýþmada; kliniðimizde tedavi edilen künt ve penetran penis yaralanmalý hastalar retrospektif olarak deðerlendirilmiþtir. Ocak 1990 ile Ekim 1997 tarihleri arasýnda, Dicle Üniversitesi Hastanesi Üroloji kliniðinde penis yaralanmasý nedeniyle 40 hasta tedavi edilmiþtir. Bu hastalar; yaþ, yaralanma þekli, fizik muayene bulgularý, radyolojik bulgular, yandaþ organ yaralanmalarý, tedavi þekilleri, postoperatif erken ve geç komplikasyonlarý yönünden deðerlendirilmiþtir. Hastalar 20-55 (ortalama 28) yaþlarý arasýnda olup, yaralanma nedeni 29 hastada künt travma, 11 hastada ise penetran travmadýr. Künt penil travmalý 3 hastaya medikal tedavi uygulanýrken, diðer 37 hastada cerrahi tedavi uygulanmýþtýr. Yandaþ organ yaralanmalarý, penetran travmalý hastalarda daha fazla saptanmýþtýr. Postoperatif komplikasyon olarak 2 hastada yara enfeksiyonu, 1 hastada üretra darlýðý, 1 hastada penil ereksiyonda yetersizlik ve 5 hastada cinsel iliþkiyi engellemeyen penil kurvatür saptanmýþtýr. Sonuç olarak; penis yaralanmalý hastalarýn cerrahi giriþim ile ciddi komplikasyon olmaksýzýn baþarý ile tedavi edilebileceðine inanýyoruz.

BLUNT AND PENETRATING INJURIES OF THE PENIS

In this study, we reviewed retrospectively the patients with blunt and penetrating penile injury who were treated in our clinic. Between January 1990 and October 1997, 40 patients with penile injury have been treated at Urology department of Dicle University Hospital. These patients have been evaluated for age, the type of injury, the finding of physical examination, the results of radiographic evaluations, the presence of associated organ injuries, management, postoperative immediate and delayed complications. Patients age ranged from 20 to 55 (average age 28). The causes of injuries were blunt trauma in 29 patients, and penetrating trauma in 11 patients. While three patients with blunt penile injury have been treated with medical management, remaining cases (37 patients) were managed by surgery. Associated organ injuries in penetrating trauma were higher than those of blunt trauma. Postoperative complications were wound infection in 2 patients, urethral stricture in 1 patient, insufficient penil erection in / patient and penil curvature that does not prevent satisfactory vaginal generation in 5 patients. As a result; we believe that penile injury can be treated successfully without severe complications, when they treated with early surgical intervention.