{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,6]],"date-time":"2026-11-06T07:12:00Z","timestamp":1793949120732,"version":"4.8.0"},"reference-count":10,"publisher":"Wiley","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Advances in Urology"],"published-print":{"date-parts":[[2014]]},"abstract":"<jats:p>\n                    <jats:italic>Purpose.<\/jats:italic>\n                    To determine the mechanisms predisposing penile fracture as well as the rate of long-term penile deformity and erectile and voiding functions.\n                    <jats:italic>Methods.<\/jats:italic>\n                    All fractures were repaired on an emergency basis via subcoronal incision and absorbable suture with simultaneous repair of eventual urethral lesion. Patients\u2019 status before fracture and voiding and erectile functions at long term were assessed by periodic follow-up and phone call. Detailed history included cause, symptoms, and single-question self-report of erectile and voiding functions.\n                    <jats:italic>Results.<\/jats:italic>\n                    Among the 44 suspicious cases, 42 (95.4%) were confirmed, mean age was 34.5 years (range: 18\u201360), mean follow-up 59.3 months (range 9\u2013155). Half presented the classical triad of audible crack, detumescence, and pain. Heterosexual intercourse was the most common cause (28 patients, 66.7%), followed by penile manipulation (6 patients, 14.3%), and homosexual intercourse (4 patients, 9.5%). \u201cWoman on top\u201d was the most common heterosexual position (\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                      <mml:mi>n<\/mml:mi>\n                      <mml:mo>=<\/mml:mo>\n                      <mml:mn>14<\/mml:mn>\n                    <\/mml:math>\n                    , 50%), followed by \u201cdoggy style\u201d (\n                    <mml:math xmlns:mml=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                      <mml:mi>n<\/mml:mi>\n                      <mml:mo>=<\/mml:mo>\n                      <mml:mn>8<\/mml:mn>\n                    <\/mml:math>\n                    , 28.6%). Four patients (9.5%) maintained the cause unclear. Six (14.3%) patients had urethral injury and two (4.8%) had erectile dysfunction, treated by penile prosthesis and PDE-5i. No patient showed urethral fistula, voiding deterioration, penile nodule\/curve or pain.\n                    <jats:italic>Conclusions.<\/jats:italic>\n                    \u201cWoman on top\u201d was the potentially riskiest sexual position (50%). Immediate surgical treatment warrants long-term very low morbidity.\n                  <\/jats:p>","DOI":"10.1155\/2014\/768158","type":"journal-article","created":{"date-parts":[[2014,4,13]],"date-time":"2014-04-13T17:06:07Z","timestamp":1397408767000},"page":"1-4","source":"Crossref","is-referenced-by-count":34,"title":["Mechanisms Predisposing Penile Fracture and Long-Term Outcomes on Erectile and Voiding Functions"],"prefix":"10.1155","volume":"2014","author":[{"given":"Leonardo O.","family":"Reis","sequence":"first","affiliation":[{"name":"School of Medical Sciences, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC), PUC-Campinas, Rua Tess\u00e1lia Vieira de Camargo 126, Cidade Universit\u00e1ria \u201cZeferino Vaz,\u201d 13083-887 Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcelo","family":"Cartapatti","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC), PUC-Campinas, Rua Tess\u00e1lia Vieira de Camargo 126, Cidade Universit\u00e1ria \u201cZeferino Vaz,\u201d 13083-887 Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rafael","family":"Marmiroli","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC), PUC-Campinas, Rua Tess\u00e1lia Vieira de Camargo 126, Cidade Universit\u00e1ria \u201cZeferino Vaz,\u201d 13083-887 Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eduardo Jeronimo de","family":"Oliveira J\u00fanior","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC), PUC-Campinas, Rua Tess\u00e1lia Vieira de Camargo 126, Cidade Universit\u00e1ria \u201cZeferino Vaz,\u201d 13083-887 Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ricardo Destro","family":"Saade","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC), PUC-Campinas, Rua Tess\u00e1lia Vieira de Camargo 126, Cidade Universit\u00e1ria \u201cZeferino Vaz,\u201d 13083-887 Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adriano","family":"Fregonesi","sequence":"additional","affiliation":[{"name":"School of Medical Sciences, University of Campinas (UNICAMP) and Pontifical Catholic University of Campinas (PUC), PUC-Campinas, Rua Tess\u00e1lia Vieira de Camargo 126, Cidade Universit\u00e1ria \u201cZeferino Vaz,\u201d 13083-887 Campinas, SP, Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.2008.07902.x"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1743-6109.2011.02461.x"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1038\/ijir.2008.12"},{"key":"4","doi-asserted-by":"crossref","first-page":"E168","DOI":"10.5489\/cuaj.475","volume":"7","year":"2013","journal-title":"Canadian Urological Association Journal"},{"key":"5","doi-asserted-by":"crossref","first-page":"E572","DOI":"10.5489\/cuaj.179","volume":"7","year":"2013","journal-title":"Canadian Urological Association Journal"},{"key":"6","doi-asserted-by":"crossref","first-page":"1424","DOI":"10.1111\/jsm.12107","volume":"10","year":"2013","journal-title":"The Journal of Sexual Medicine"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2008.03.010"},{"key":"8","volume":"4, article 17","year":"2012","journal-title":"Critical 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