Segmental partial thrombosis of the corpora cavernosa: Case report and diagnostic/therapeutic algorithm

Author(s):  
Fabián Claudio Militello ◽  
Alejo Aredez ◽  
Emilia Yarade ◽  
Maximiliano Pérez
2016 ◽  
Vol 28 (1) ◽  
pp. 115-117
Author(s):  
Anurag Puri ◽  
Dilip Kumar Pal

Abstract Megalourethra is a diffuse dilatation of the anterior urethra due to lack of corpus spongiosum with or without corpora cavernosa; it usually presents as a dilatation of that part of the urethra. The absence of these structures causes a ballooning of the urethra despite there being no mechanical obstruction. A 7-year-old boy presented with the complaints of weak stream, ballooning of the penis before and during voiding urine and post voiding dribbling. After examination and micturating urethrogram, he was diagnosed as having megalourethra, which was then corrected using reduction urethroplasty. These days megalourethra is diagnosed with prenatal ultrasonogram. This was a case of isolated delayed presentation of megalourethra without any associated anomaly.


2015 ◽  
Vol 2015 ◽  
pp. 1-5
Author(s):  
Dmitriy Nikolavsky

In patients with devastated bulbous urethra, that is, bulbar necrosis, failed fasciocutaneous repairs and “watering can perineum” repair options are limited by paucity of reliable local tissue suitable for reconstruction. In this case report we demonstrate a novel variation of a two-stage technique for reconstruction of a devastated bulbous urethra in a 57-year-old male who suffered penetrating trauma to his previously reconstructed urethra. Because of extensive loss of local tissue from the prior reconstruction and subsequent trauma and infection a 2-stage technique with use of gracilis was employed. This technique involved creation of two independently vascularized urethral hemi-plates prelaminated with buccal mucosa graft (BMG). In the first stage the dorsal plate was created by quilting buccal graft onto corpora cavernosa to create a temporary augmented perineal urethrostomy. In the same stage the future ventral neourethral plate was created by grafting another BMG onto the exposed distal gracilis muscle. Eight weeks later the two prelaminated plates were anastomosed by tunneling the gracilis-BMG composite into the perineum. At 8-month follow-up patient has normal voiding and continence. To our knowledge this is the first report of reconstructing an entire segment of devastated urethra in such a manner.


1993 ◽  
Vol 149 (5 Part 1) ◽  
pp. 1135-1136 ◽  
Author(s):  
Claudio Teloken ◽  
Wilson F.S. Busato ◽  
Joao Fidelis J. Νeto ◽  
Antonio Hartmann ◽  
Jorge Winckler ◽  
...  

2008 ◽  
Vol 43 (9) ◽  
pp. 1729-1731 ◽  
Author(s):  
Avinash V. Joshi ◽  
Rahul K. Gupta ◽  
Hemanshi Shah ◽  
Sandesh Parelkar ◽  
Abhaya Gupta ◽  
...  

1997 ◽  
Vol 64 (4) ◽  
pp. 458-460
Author(s):  
M. De Marco ◽  
N. Angileri ◽  
M. Ferrera ◽  
G. Di Natale ◽  
G. Galfano

– The reported case concerns an unusual localisation of “Royal Tumour” connected with von Recklinghausen's neurofibromatosis. Surgery was necessary because of the increasing difficulty of the patient in having sexual relations due to the progressive swelling of the penile neoformation. The typical clinical picture, the integrity of the corpora cavernosa and the negative impact of the neoformation on the patient's sexual life all indicated the necessity for operation. Results were satisfactory both surgically and functionally/aesthetically and the patient regained normal sexual activity.


2013 ◽  
Vol 5 (2) ◽  
pp. 23
Author(s):  
Nathan A. Hoag ◽  
Kiara Hennessey ◽  
Alan So

Penile fracture is a rare injury most commonly sustained duringsexual intercourse. We report the case of a 35-year-old man whopresented with bilateral rupture of the corpora cavernosa andcomplete disruption of the urethra. A review of the literature onpenile fracture is also presented. Urgent surgical exploration wasperformed and the injuries repaired primarily. In follow-up, thepatient reported satisfactory erectile function. This case highlightsthe importance of early surgical repair and evaluation for concomitanturethral injuries in cases of penile fracture.


2019 ◽  
Vol 6 (8) ◽  
pp. 2979
Author(s):  
Vivek Parameswara Sarma

Epispadias with an intact prepuce (Concealed Epispadias) is an uncommon anomaly. The specific clinical signs in this situation are broad, spade-like glans with a dorsally directed preputial opening, gap between the corpora cavernosa may be palpable, dorsal chordee and abnormalities of the penile raphae. We report the case of a 3 year old male child with Concealed Epispadias who underwent a modified Cantwell-Ransley operation with good outcome. The relevant anatomy, embryology and surgical options are reviewed.


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