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학제간연구 과학기술학 뇌인지과학 기술정책 기타 복합학

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논문 기본 정보

자료유형
학술저널
저자정보
Erkin Saglam (Dr. Lütfi Kırdar Education and Research Hospital Urology Clinic) Fatih Tarhan (Dr. Lütfi Kırdar Education and Research Hospital Urology Clinic) Mustafa B. Hamarat (Artvin State Hospital) Utku Can (Dr. Lütfi Kırdar Education and Research Hospital Urology Clinic) Alper Coskun (Dr. Lütfi Kırdar Education and Research Hospital Urology Clinic) Emre Camur (Dr. Lütfi Kırdar Education and Research Hospital Urology Clinic) Kemal Sarica (Dr. Lütfi Kırdar Education and Research Hospital Urology Clinic)
저널정보
대한비뇨기과학회 Investigative and Clinical Urology Investigative and Clinical Urology Vol.58 No.4
발행연도
2017.1
수록면
255 - 260 (6page)

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초록· 키워드

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Purpose: To evaluate the diagnostic value of magnetic resonance imaging (MRI) in patients with suspected penile fracture. Materials and Methods: A total of 122 patients admitted to our inpatient clinic with a suspicion of penile fracture following a recent history of penile trauma and who underwent surgical exploration were included this study. A thorough physical examination, a detailed medical history, description of the trauma, and preoperative International Index of Erectile Function (IIEF) scores were obtained for each patient prior to surgery. Thirty-eight of these patients were evaluated with MRI before the surgical exploration. Intraoperative findings were also recorded. Physical findings and IIEF scores were also recorded at postoperative 6 months. Results: The mean age of our patient group was 36.5±12.3 years. Penile fracture was detected in 105 of 122 patients in whom surgical exploration was performed owing to a suspected diagnosis. The mean time interval from penile trauma to hospital admittance was 9.9±15.1 hours. No cavernosal defect was detected in 9 of 84 patients (10.7%) who were not evaluated with MRI prior to surgery. Compared with surgical exploration, MRI findings showed 100% (30 of 30) sensitivity and 87.5% (7 of 8) specificity in the diagnosis of penile fracture. MRI had a high negative predictive value of 100% (7 of 7) and a positive predictive value of 96.7% (30 of 31) with just 1 misdiagnosed patient. Conclusions: MRI is a reliable diagnostic tool in the diagnosis of penile fractures. Compared to history and physical findings taken all together, the high sensitivity and specificity of this imaging technique can decrease the number of unnecessary surgical explorations.

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참고문헌 (19)

참고문헌 신청
Morey AF / 2012 / Campbell-Walsh urology / Saunders :2379~2392 google schola Koifman L / 2010 / Penile fracture: diagnosis, treatment and outcomes of 150 patients / Urology 76:1488~1492 google schola Antonini G / 2014 / Penile fracture: penoscrotal approach with degloving of penis after Magnetic Resonance Imaging (MRI) / Arch Ital Urol Androl 86:39~40 google schola Eke N / 2002 / Fracture of the penis / Br J Surg 89:555~565 google schola Zargooshi J / 2009 / Sexual function and tunica albuginea wound healing following penile fracture: an 18-year follow-up study of 352patients from Kermanshah, Iran / J Sex Med 6:1141~1150 google schola

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