Penile Trauma, Peyronie's Disease And Erectile Dysfunction

Main Category: Erectile Dysfunction / Premature Ejaculation
Also Included In: Urology / Nephrology;  Men's health
Article Date: 19 Sep 2008 - 5:00 PDT

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BERLIN, GERMANY (UroToday.com) - Frederick Gulmi, MD, Chairman, Department of Urology, Brookdale University Hospital, Brooklyn, NY, presented interesting cases of penile trauma and outlined the principles involved in their management, as well as the grading system of the American Association for the Surgery of Trauma.

* Grade 1 - simple laceration or contusion;
* Grade 2 - laceration of Bucks without loss of tissue;
* Grade 3 - cutaneous avulsion, laceration through the glans or meatus or a cavernosal defect or urethral defect less than 2 cm;
* Grade 4 - partial penectomy or defect greater than 2 cm;
* Grade 5 - total penectomy

Management should be directed toward the preservation of function and appearance. Initial surgical management should follow careful cleansing, removal of foreign bodies, and assessment of the extent of injury. One should attempt to close all layers of the penis anatomically, prioritize associated injuries, and preserve foreskin for subsequent reconstructive procedures.

Presented by Frederick Gulmi, MD, at the Annual Meeting of the American Urological Association - New York Section - September 6 - 13, 2008 - Berlin, Germany

Reported by UroToday.com Contributing Editor Harris M. Nagler, MD

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