PMID- 37905382
OWN - NLM
STAT- MEDLINE
DCOM- 20231129
LR  - 20240213
IS  - 1464-410X (Electronic)
IS  - 1464-4096 (Linking)
VI  - 132
IP  - 6
DP  - 2023 Dec
TI  - Penile fractures: the price of a merry Christmas.
PG  - 651-655
LID - 10.1111/bju.16216 [doi]
AB  - OBJECTIVES: To explore whether Christmas might be a risk factor for penile 
      fractures due to the Christmas spirit related to the intimacy and euphoria of 
      these holly jolly days. PATIENTS AND METHODS: We evaluated the incidence of 
      penile fractures during Christmas and New Year's Eve through the GeRmAn 
      Nationwide inpatient Data (GRAND) from the Research Data Center of the Federal 
      Bureau of Statistics (Wiesbaden, Germany). Furthermore, we assessed the impact of 
      COVID-19 on penile fractures and their seasonality. RESULTS: A total of 3,421 
      patients with a median, interquartile range (IQR) age of 42 (32-51) years had a 
      penile fracture requiring a hospital stay from 2005 to 2021. In all, 40 (1.2%) 
      penile fractures occurred in 51 days of Christmas (from 24/12 to 26/12 in each 
      year). The daily incidence of penile fractures during Christmas was 0.78 with an 
      incidence rate ratio (IRR) of 1.43 (95% confidence interval [CI] 1.05-1.95, 
      P = 0.02). If every day was like Christmas, 43% more penile fractures would have 
      occurred in Germany from 2005 on. Interestingly, only 28 (0.82%) penile fractures 
      occurred during the New Year's Eve period (31/12 to 02/01 from 2005 to 2021). 
      This resulted in an IRR of 0.98 (95% CI 0.69-1.5, P = 0.98) in the New Year's Eve 
      period. Most patients with penile fractures were admitted to hospital at the 
      weekend (n = 1,322; IRR 1.58, 95% CI 1.48-1.69; P < 0.001). Summer was also 
      associated with more penile fractures (n = 929; IRR 1.11, 95% CI 1.03-1.19; 
      P = 0.008). Both the COVID-19 pandemic (n = 385; IRR 1.06, 95% CI 0.95-1.18, 
      P = 0.29) and its lockdown period (n = 93; IRR 1, 95% CI 0.82-1.23; P = 0.96) did 
      not affect the incidence of penile fractures. CONCLUSION: The incidence of penile 
      fractures displays a seasonality. Last Christmas penile fractures occurred more 
      often. This year to save us from tears, we will NOT do something special (the new 
      Christmas hit of the year).
CI  - (c) 2023 The Authors. BJU International published by John Wiley & Sons Ltd on 
      behalf of BJU International.
FAU - Pyrgidis, Nikolaos
AU  - Pyrgidis N
AUID- ORCID: 0000-0002-7707-8426
AD  - Department of Urology, University Hospital, LMU, Munich, Germany.
FAU - Chaloupka, Michael
AU  - Chaloupka M
AUID- ORCID: 0000-0002-8814-6412
AD  - Department of Urology, University Hospital, LMU, Munich, Germany.
FAU - Volz, Yannic
AU  - Volz Y
AUID- ORCID: 0000-0002-5468-9398
AD  - Department of Urology, University Hospital, LMU, Munich, Germany.
FAU - Pfitzinger, Paulo
AU  - Pfitzinger P
AD  - Department of Urology, University Hospital, LMU, Munich, Germany.
FAU - Apfelbeck, Maria
AU  - Apfelbeck M
AD  - Department of Urology, University Hospital, LMU, Munich, Germany.
FAU - Weinhold, Philipp
AU  - Weinhold P
AD  - Department of Urology, University Hospital, LMU, Munich, Germany.
FAU - Stief, Christian
AU  - Stief C
AD  - Department of Urology, University Hospital, LMU, Munich, Germany.
FAU - Marcon, Julian
AU  - Marcon J
AD  - Department of Urology, University Hospital, LMU, Munich, Germany.
FAU - Schulz, Gerald Bastian
AU  - Schulz GB
AD  - Department of Urology, University Hospital, LMU, Munich, Germany.
LA  - eng
PT  - Journal Article
DEP - 20231114
PL  - England
TA  - BJU Int
JT  - BJU international
JID - 100886721
SB  - IM
CIN - MMW Fortschr Med. 2024 Feb;166(2):34. PMID: 38332279
MH  - Humans
MH  - Adult
MH  - Middle Aged
MH  - *Pandemics
MH  - Risk Factors
MH  - Incidence
MH  - *Hospitalization
MH  - Hospitals
OTO - NOTNLM
OT  - COVID-19
OT  - Christmas
OT  - penile fracture
OT  - perioperative outcomes
OT  - retrospective cohort study
EDAT- 2023/10/31 06:42
MHDA- 2023/11/29 06:42
CRDT- 2023/10/31 04:32
PHST- 2023/11/29 06:42 [medline]
PHST- 2023/10/31 06:42 [pubmed]
PHST- 2023/10/31 04:32 [entrez]
AID - 10.1111/bju.16216 [doi]
PST - ppublish
SO  - BJU Int. 2023 Dec;132(6):651-655. doi: 10.1111/bju.16216. Epub 2023 Nov 14.