Increase in XXXX of the penis in south-west Nigeria.

@entity1 @entity546 @entity174 @entity130
OBJECTIVE: To present our recent experience in the management of @entity546 . @entity1 AND METHODS: We present 21 cases of @entity546 managed at the two Federal-owned tertiary hospitals in two neighbouring states in south-west Nigeria between 2001 and 2011. The diagnosis was based mainly on a clinical evaluation. The treatment was surgical in @entity1 who presented within 2  weeks of the @entity174 . The emphasis during the follow-up was on erectile function and micturition. RESULTS: Seventeen @entity1 presented within 48  h, two presented after a week, while two reported months later with penile deviation. The mean age of the @entity1 was 26.4  years. The cause of @entity174 was sexual intercourse in 11 (52%) @entity1 and forceful manipulation of the erect penis in 10 (48%). Thirteen (62%) of all @entity130 occurred in the last 2  years of the study, of which eight @entity1 were injured during rear entry with the @entity1 on top (reverse coital) position. Six of the @entity1 with reverse @entity130 reported trying the position after watching it on the Internet, specifically on their cellular phones. Eighteen @entity1 had surgical treatment, with a satisfactory outcome. Two of the other three @entity1 had penile deviation during erection. CONCLUSIONS: The incidence and causes of @entity546 appear to have changed drastically over the last 2  years in our environment. The rapid demographic changes in south-west Nigeria are probably responsible. There appears to be a relationship between the cause of @entity174 and the use of the Internet, although that might be coincidental. Surgical repair, irrespective of the delay before intervention, usually offers a satisfactory outcome.
