scholarly journals Fracture Penis: An Analysis of 26 Cases

2006 ◽  
Vol 6 ◽  
pp. 2327-2333 ◽  
Author(s):  
G.V.Soundra Pandyan ◽  
Ahmed Bakeet Zaharani ◽  
Mohammed Al Rashid
Keyword(s):  
Late Complication ◽  
Causative Factor ◽  
Clinical Findings ◽  
Penile Fracture ◽  
Dorsal Vein ◽  
Absorbable Sutures ◽  
Common Clinical Finding ◽  
Tear Size ◽  
Penile Hematoma ◽  
Patient Infection

The aim of this study was to review the pattern of penile fracture occurrence, its clinical presentation, diagnosis, management, and outcome at our center. A retrospective analysis of 26 patients with penile fractures treated at our hospital from January 1997 to January 2005 was carried out. We noted an incidence of 3.5 cases per year, occurring more commonly in unmarried men. Of our study group, 28 episodes of penile fractures occurred in 26 patients. Hospital presentation after trauma varied from 2 h to 21 days. Masturbation was the main initiating causative factor and penile hematoma was the most common clinical finding. Nearly 81% noticed the characteristic click prior to the fracture. Clinical diagnosis was adequate in a majority of the cases. Midshaft fractures with right-sided laterality were more frequent in this series. The tear size ranged from 0.5—2.5 cm with a mean of 1.1 cm. All cases, but one, were treated by surgical repair using absorbable sutures. Out of three cases treated conservatively, two failed to respond and had to be treated surgically. False fracture with dorsal vein tear was present in two cases. Involvement of bilateral corpora was seen in one patient. Infection was the most common early complication, while pain with deviation was the late complication. In our experience, clinical findings are adequate enough to diagnose fracture penis in a majority of cases. Surgical exploration with repair of the tear is recommended both in early and delayed presentations. There was no noticeable relationship to the time of initial presentation or with the size and site of tear to the final outcome.

scholarly journals Superficial Dorsal Vein Injury/Thrombosis Presenting as False Penile Fracture Requiring Dorsal Venous Ligation

2014 ◽  
Vol 2 (4) ◽  
pp. 182-185 ◽  
Author(s):  
Arash Rafiei ◽  
Tariq S. Hakky ◽  
Daniel Martinez ◽  
Justin Parker ◽  
Rafael Carrion
Keyword(s):  
Penile Fracture ◽  
Dorsal Vein ◽  
Vein Injury

The Value of Magnetic Resonance Imaging in the Diagnosis of Suspected Penile Fracture with Atypical Clinical Findings

1996 ◽  
Vol 155 (6) ◽  
pp. 1924-1927 ◽  
Author(s):  
Michael Fedel ◽  
Stephan Venz ◽  
Rudiger Andreessen ◽  
Frank Sudhoff ◽  
Stefan A. Loening
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Clinical Findings ◽  
Resonance Imaging ◽  
Penile Fracture

Tracheobronchial Injuries Caused by Blunt Trauma

1995 ◽  
Vol 10 (5) ◽  
pp. 226-233
Author(s):  
Kamal G. Shaker ◽  
Helen M Hollingsworth ◽  
Richard S. Irwin ◽  
Cynthia B. Umali
Keyword(s):  
Blunt Trauma ◽  
Traffic Accidents ◽  
Late Complication ◽  
Tracheal Ring ◽  
Good Prognosis ◽  
Clinical Findings ◽  
Delay In Diagnosis ◽  
Tracheobronchial Injuries ◽  
Minor Injuries

Tracheobronchial injuries, once rare complications of blunt trauma to the anterior neck and chest, are becoming more common. Traffic accidents account for most of these injuries. There are several possible mechanisms for airway rupture, the site of which is dictated by the location of the trauma and the points of airway fixation. The vast majority of cervical tracheal injuries occur above the fourth tracheal ring, whereas thoracic tracheal and bronchial lesions tend to occur in the vicinity of the carina. The presence of respiratory distress and signs of air leak, such as subcutaneous emphysema and persistent pneumothorax despite thoracostomy tube drainage, characterize many of these injuries. In some patients, however, the paucity of clinical findings leads to a delay in diagnosis until a late complication, such as lung collapse or suppuration; occurs. Flexible bronchoscopy remains the most valuable tool for diagnosis. Early surgical repair is recommended except for some minor injuries, which can be managed expectantly and with close follow-up. Patients who reach the hospital alive have a good prognosis.

Rupture of Dorsal Vein Mimicking Penile Fracture: a Case Series Report and Literature Review

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Ba Z ◽  
◽  
Ziba OJD ◽  
Khatraty CSB ◽  
Kanza R ◽  
...  
Keyword(s):  
Sexual Intercourse ◽  
Surgical Management ◽  
Clinical Examination ◽  
Case Series ◽  
Final Diagnosis ◽  
Penile Fracture ◽  
Old Patients ◽  
Bleeding Vessel ◽  
Dorsal Vein ◽  
Vein Injury

Penile fracture is a rare and traumatic emergency in andrology. Immediate surgical repair is widely accepted as the therapy of choice in penile fracture. But some situations mimic penile fracture such as superficial dorsal vein rupture. There are few cases reported in the literature. Aim: To present a case series of injuries of the penile dorsal vein that occurred during sexual intercourse. Methods: A 48-year-old and 45-year-old patients both received in emergency for suspected penile fracture after one hour of vigorous sexual intercourse, the clinical examination and ultrasound were performed and the penile fracture was suspected. Surgical management in an emergency was indicated. Results: Per-operative diagnosis was a dorsal vein injury. The surgical management which consisted of early exploration, evacuation of hematoma, and ligation of the bleeding vessel in this case was good with preserving erectile function after surgery, without abnormal curvature erection. Conclusions: Vascular injuries of the penis can mimic perfectly penile fractures. The medical history and clinical examination can lead to prompted exploration for suspected penile fracture. The ultrasound exploration can be limited for detection of penile vascular injury and final surgical exploration offers final diagnosis and repairment of the trauma. Clinical evolution is favorable, without painful nocturnal erections or deviation of the penis or hypoesthesia of the glans.

scholarly journals Isolated rupture of the superficial dorsal vein of the penis during intercourse: A rare cause of false penile fracture

2021 ◽  
pp. 101761
Author(s):  
Mohammed Ettaouil ◽  
Chouaib Waffar ◽  
Hamza Moudlige ◽  
Mohamed Dakir ◽  
Adil Debbagh ◽  
...  
Keyword(s):  
Penile Fracture ◽  
Dorsal Vein

scholarly journals Traumatic penile fracture with bilateral corporeal rupture

2021 ◽  
Vol 2 (2) ◽  
pp. 61-65
Author(s):  
SORIN NEDELEA ◽  
IULIAN SLAVU ◽  
ANDREI SIN ◽  
OCTAVIAN PATRASCANU ◽  
ADRIAN TULIN ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Tunica Albuginea ◽  
Rapid Onset ◽  
Corpus Spongiosum ◽  
Penile Fracture ◽  
Surgical Exploration ◽  
Penile Pain ◽  
Absorbable Sutures ◽  
Urological Emergencies

A 24-year-old man with no urological history presented to the emergency room for rapid onset severe penile pain, tenderness, swelling, and ecchymosis during vaginal sexual intercourse. Clinical examination was suggestive of penile fracture with a high suspicion of bilateral corporeal involvement. Urethrography excluded an injury to the corpus spongiosum. Surgical exploration confirmed the bilateral laceration of the corpora and tunica albuginea which was repaired with absorbable sutures.  Penile fractures are true urological emergencies whose surgical treatment must not be delayed to prevent long-term sequelae. Bilateral corporal rupture represents only 2-10% percent of penile fractures and usually involves the urethra, especially when the lacerations are situated ventrally.

scholarly journals Bilateral fracture of corpora cavernosa with complete rupture of the anterior urethra: Case report and review of recent findings for surgical management

2018 ◽  
Vol 66 (4) ◽  
pp. 635-638
Author(s):  
David Andrés Castañeda-Millán ◽  
Otto Manrique-Mejía ◽  
César Capera-López ◽  
Wilfredo Donoso-Donoso
Keyword(s):  
Clinical Outcomes ◽  
Surgical Management ◽  
Clinical Findings ◽  
Penile Fracture ◽  
Anterior Urethra ◽  
Corpora Cavernosa ◽  
Complete Rupture ◽  
Mesh Terms ◽  
Rate Versus ◽  
Urological Emergency

Introduction: Penile fracture is a rare urological emergency associated in up to 30% of cases with injury to the anterior urethra. Recent data suggest that early surgical intervention is the best treatment strategy. This investigation describes a case of bilateral corpora cavernosa injury associated with complete rupture of the anterior urethra and presents current concepts about its management.Case presentation: 39-year-old man with bilateral corpora cavernosa injury and complete rupture of the anterior urethra, who received early surgical treatment with satisfactory early clinical outcomes. A literature review was made in PubMed and Embase, limiting the search to scientific articles published in the past 10 years using the MeSH terms “Penile diseases”, “Genital diseases, male”, “Wounds and injuries”. Some references were included given their clinical relevance. In this case, similar to international experiences, early surgical management of corpora cavernosa fractures allowed achieving adequate clinical outcomes in the patient.Conclusions: The diagnosis of penile fracture is based on clinical findings. Early surgical management should be considered as a therapy of choice. Conservative management has a higher complication rate versus early surgical management. The case described here had an adequate clinical evolution after 3 months of follow-up.

scholarly journals Approach to management of penile fracture- Our Three-year experience at a Teaching Hospital

2021 ◽  
Vol 24 (1) ◽  
pp. 10-13
Author(s):  
Sunil Basukala ◽  
Narayan Thapa ◽  
Bikash Bahadur Rayamajhi ◽  
Bikram Basukala ◽  
Saurav Karki
Keyword(s):  
Teaching Hospital ◽  
Clinical Presentation ◽  
Tunica Albuginea ◽  
Tertiary Care ◽  
Time Interval ◽  
Penile Fracture ◽  
Presenting Symptoms ◽  
Presentation Time ◽  
Manual Manipulation ◽  
Penile Hematoma

Introduction: Penile fracture is a rare surgical emergency. It usually occurs as a single rupture of the tunica albuginea in one of the two corpora cavernosa; a rupture of both masses is an uncommon finding. We conducted this study to determine the etiology, clinical presentation and to review the causes and management of penile fracture. Methods: The retrospective study was carried out on 17 patients, admitted in the department of Urosurgery from January 2017 to December 2020 with penile fracture in a tertiary care teaching hospital in Kathmandu. Patient demographic profile, etiology, clinical presentation, time interval from injury to presentation, investigation done, treatment given and intraoperative findings were analyzed. Results: The main cause of penile fractures was sexual intercourse (82.35%) followed by manual manipulation (17.65%). Crackling sound (100%) followed by penile hematoma and pain were the most common presenting symptoms among the patients.  Surgical exploration and repair of injury was done in all patients. Conclusion: Most of the time diagnosis of penile fracture can be made reliably by history and physical examination. Early surgical intervention is associated with a good outcome, regardless of the timing of presentation.

scholarly journals Superficial Dorsal Vein Rupture Imitating Penile Fracture

2011 ◽  
Vol 52 (4) ◽  
pp. 293
Author(s):  
Caner Baran ◽  
Medih Topsakal ◽  
Ender Kavukcu ◽  
Tahir Karadeniz
Keyword(s):  
Penile Fracture ◽  
Dorsal Vein

Peculiar Hepatocellular Carcinoma Clinical Findings in patients with Thalassemia Syndromes.

Blood ◽  
2009 ◽  
Vol 114 (22) ◽  
pp. 5108-5108
Author(s):  
Gaetano Restivo ◽  
Franco Valenza ◽  
Fabio D'Amato ◽  
Angela Vitrano ◽  
Paolo Rigano ◽  
...  
Keyword(s):  
Risk Factors ◽  
Hepatocellular Carcinoma ◽  
Conflicts Of Interest ◽  
Late Complication ◽  
Clinical Findings ◽  
Decompensated Cirrhosis ◽  
Hcv Rna ◽  
Ultrasound Evaluation ◽  
Severe Stage

Abstract Abstract 5108 Background Hepatocellular carcinoma (HCC) is the most common primary hepatic cancer, and the fifth and eighth most common malignancy worldwide in men and women, respectively. Hepatitis B and C, primary and secondary hemochromatosis and cirrhosis have been identified as major risk factors. Hepatitis C or B virus infection and secondary hemochromatosis are the major cause of morbidity and mortality. In the last years, HCC on cirrhosis is a common reported complication in patients with thalassemia syndromes1,2,3. In non thalassemia patients HCC is a late complication of cirrhosis and prognosis depends on suitability for treatment. In this group, the last is low (40%) considering that cirrhosis severe stage C, according to Child-Pugh score is generally observed (personal communication). Aim of the study describing, in a homogeneous cohort of thalassemia patients, the main clinical findings of HCC. Patients and Methods All subjects with risk factors for HCC as iron overloading, HCV or HBV chronic infection, histological evidence of cirrhosis were undergone every six months to an ultrasound evaluation associated with alphaphetoprotein determination. Nine new cases, since January 2000 until July 2009, were detected. Table I shows the main clinical findings. Mean value of serum ferritin levels, in the last 2 years before diagnosis, was 1049±721. All patients except one were anti-HCV positive (Table I). Seven of them were HCV-RNA positive (Table I). None of them had previous HBV infection. Results Only one patient had severe stage C, according to Child-Pugh score. None of the patients had significant high levels of alphaphetoprotein (AFP) at diagnosis. However, a slightly increase of AFP levels was shown, during the 6 months before diagnosis, in 50% of cases. Three patients had a delayed diagnosis because of atypical imaging for HCC at TC scan or a negative previous histology for HCC after liver biopsy. Five patients had multifocal HCC at the diagnosis (Table I). Four showed an unifocal HCC, developing two of them multifocal HCC during the follow-up (Table I). Four patients died during the follow-up for decompensated cirrhosis. Five patients are alive after treatment. Main used treatments are shown on Table I. The overall mean survival was 28±25 months (range 3-64). Conclusions 1) almost all talassemia patients with HCC are suitable for treatment ; 2) baseline liver function is the most main factor conditioning survival and suitability for treatment ; 3) periodical serum AFP determnations can reveal a slight increase; 3) iron overloading alone can be related to the development of HCC in a liver with still good functional reserve, giving more opportunity for treatment 4) monitoring for HCC by liver ultrasound evaluation, every six months, in at risk patients with thalassemia syndromes should be mandatory. Disclosures No relevant conflicts of interest to declare.

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