Penile fracture is a rare condition that describes the rupture of the corpus cavernosum following direct, high-pressure trauma to the erect penis. There is no standardized management algorithm for these patients. We performed a systematic review of the past 10 years regarding management of penile fractures. A complete PRISMA-P 2015 checklist was performed where we reviewed English articles published over the past 10 years to identify 105 articles, where 63 articles were of relevance and subsequently narrowed to a total of 28 articles into the final review for this study. We determined that immediate penile exploration and tunica repair is considered the most common and current management of penile fractures with experts demonstrating that it leads to the fastest in recovery in erectile function and positive cosmetic outcomes. However, we also determined that the specific algorithm can be variable-down to the suture material, use of catheterization, urethroplasty when involved, and length of recovery/follow-up. In the last several decades, men with penile fracture have been treated, in most cases, with immediate surgical intervention. This review highlights the varying practices regarding surgical exploration, injury repair, and postoperative management in men with a penile fracture. Immediate penile exploration and tunica repair have been the mainstay approach of management.

中文翻译：

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阴茎骨折的手术重建：系统评价。

阴茎骨折是一种罕见的病症，描述了勃起阴茎直接受到高压创伤后海绵体破裂。这些患者没有标准化的管理算法。我们对过去 10 年有关阴茎骨折治疗的系统回顾。我们执行了完整的 PRISMA-P 2015 检查表，其中我们回顾了过去 10 年发表的英文文章，以确定 105 篇文章，其中 63 篇文章相关，随后将范围缩小到总共 28 篇文章进入本研究的最终审查。我们确定，立即进行阴茎探查和被膜修复被认为是最常见和当前的阴茎骨折治疗方法，专家证明它可以最快地恢复勃起功能和积极的美容效果。然而，我们还确定具体的算法可以根据缝合材料、导管插入术的使用、涉及尿道成形术以及恢复/随访的时间长度而变化。在过去的几十年里，大多数情况下，阴茎骨折的男性都通过立即手术干预进行治疗。这篇综述强调了男性阴茎骨折的手术探查、损伤修复和术后管理的不同实践。立即探查阴茎和修复被膜一直是主要的治疗方法。