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Risk factors for penile fracture compared with a surgical control cohort in the United States: the role of substance abuse

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Asian Journal of Andrology 2021年第3期23卷 236-239页

作者： Nathaniel Christian-Miller Andrew T Lenis Katherine E Fero josef madrigral Sriram V Eleswarapu Karim Chamie Peyman Benharash Cardiovascular Outcomes Research Laboratories(CORELAB) Department of SurgeryDavid Geffen School of Medicine at UCLALos AngelesCA 90095USA Department of Urology David Geffen School of Medicine at UCLALos AngelesCA 90095USA

Penile fracture(PF)is a surgical *** its rarity,we queried a national cohort over an 11-year period to study the temporal and demographic variations in presentation,evaluation,and management of patients with PF compared with a cohort of control *** National Inpatient Sample was queried between the years 2005 and 2016 for patients with a diagnosis of *** patients were selected as a control cohort,given the non-discriminatory nature of this *** and demographic data of the patients were compared with that of *** symptoms,rates of surgical repair,and rates of associated surgical procedures were evaluated in the PF *** the study period,5802 patients were hospitalized for *** annual incidence of PF remained unchanged at 1.0-1.8 cases per 100000 hospitalizations over the study *** with the control cohort,PF patients were more likely to be younger(38.7 years vs 41.2 years,P≤0.001),have lower rates of comorbidities except erectile dysfunction(1.4%vs 0.1%,P≤0.001),and were more likely of Black race(25.4%vs 6.2%,P≤0.001).Notably,PF patients had significantly higher rates of substance abuse(26.4%vs 18.1%,P≤0.001),despite no difference in the diagnosed psychiatric *** rarely presented with hematuria(3.5%);however,urethral evaluation was performed in 23.1%,most commonly with cystoscopy(19.2%).PF occurs more commonly in a younger,healthier male population,and among ***,rates of substance abuse appear to be higher in the PF cohort compared with those of controls.

关键词： epidemiology penile fracture penis urethra urethral injury

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