病例報告:陰莖魚骨頭穿刺傷與勃起功能影響
鄭隆峯1、余家政1,2,3、吳東霖1
1高雄榮民總醫院外科部泌尿外科
2國防醫學中心三軍總醫院外科部泌尿外科
3大仁科技大學藥學系
Case report: Penile penetrating trauma by fish bone with erectile dysfunction
Lung-Feng Cheng1、Chia-Cheng Yu1,2,3、Tong-Lin Wu1,3
1 Division of Urology, Department of Surgery, Kaohsiung Veterans General Hospital
2 Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center
3 Department of Pharmacy, Tajen University
Abstract:
Introduction:
Traumatic penile injury can be due to multiple factors. Penile fracture, penile amputation, penetrating
penile injuries, and penile soft tissue injuries are considered urologic emergencies and typically require surgical intervention. The goals of treatment for penile trauma are universal: preservation of penile length, erectile function, and maintenance of the ability to void while standing. Traumatic injury to the penis may concomitantly involve the urethra. The case was an unusual penetrating injury trauma pattern.
Brief History：
A 28-year-old young man who worked on far-sea fishing boat, and his lateral thigh was injured by
stingray during work. He took preliminary management including simple wound treatment and sting partial removal. However, painful erection was noted since then and he seeked medical help two months later. Sting barb remnant about six centimeter was noted near the penile root on CT images, causing pain during erection. It was removed with sono-guidance intra-operatively. After operation, painful erection completely disappeared. This is the first case report about stingray injury causing painful erection. He had no erectile dysfunction after operation about 2 years.