scholarly journals Fracture of the penis in Jos, Nigeria: review of cases in 2020

2021 ◽  
Vol 8 (6) ◽  
pp. 804
Author(s):  
Chimaobi G. Ofoha ◽  
Ifiok P. Umana ◽  
Adedeji G. Adewale
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Urethral Injury ◽  
Medical Attention ◽  
Penile Fracture ◽  
Rupture Length ◽  
Typical History ◽  
Urological Emergency ◽  
The Right ◽  
Urethral Rupture

Background: Penile fracture is a urological emergency and requires urgent medical attention. There was a relative upsurge in 2020. Diagnosis is usually based on typical history and examination findings suggestive of penile fracture. The objective of this study was to determine the demographics, clinical presentation and management of fracture of the penis.Methods: All patients who presented at the accident and emergency in 2020 with penile fracture were studied. The patients age, time to presentation, mechanism of injury, clinical features (cracking sound, pain, immediate detumescence, penile swelling, urethral bleeding and acute urinary retention) were recorded. Intraoperative findings (location of corpora rupture, length of tear and urethral rupture) were recorded and analysed.Results: Twelve patients were studied. The mean age was 34.8 years, range (20 years to 56 years). 58.3% presented within 24 hours of trauma. The commonest mechanism of penile fracture was sexual intercourse with the woman on top position (58%). 75% of the patients heard a popping sound. All patients had pain, detumescence and penile swelling (N=12) 100%. Two patients had urethral bleeding (N=2) 16.7%, with one having associated urethral rupture (N=1) 8.3%. Two patients had acute urinary retention (16.7%). Rupture of the right corpora occurred in 50%, 8.3% had bilateral rupture of the corpora. All the patients had repair of the corporal rupture. Urethral injury was repaired primarily. Erection and voiding post-repair were satisfactory.Conclusions: Fracture of the penis is a urological emergency. Diagnosis can be made based on typical history and examination findings. Prompt surgical intervention is advised to avoid complications and erectile dysfunction.

scholarly journals Penile Fracture: Simultaneous Complete Urethral Rupture with Bilateral Corpora Cavernosa Rupture

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Ibrahim Alnadhari ◽  
Osama Abdelhaleem Abdeljaleel ◽  
Venkata Ramana Pai Sampige ◽  
Ausama Abdulmuhsin ◽  
Ahmad Shamsodini
Keyword(s):  
Blunt Trauma ◽  
Sexual Intercourse ◽  
Rare Case ◽  
Urethral Injury ◽  
Penile Fracture ◽  
Surgical Exploration ◽  
Corpora Cavernosa ◽  
Retrograde Urethrogram ◽  
Proximal Urethra ◽  
Urethral Rupture

Penile fracture is not uncommon blunt trauma to the penis. Here, we present a rare case of penile fracture during sexual intercourse. The patient presented with penile swelling, bleeding per urethra, and inability to pass urine. Retrograde urethrogram showed significant extravasation of contrast from anterior penile urethra and no contrast passing to proximal urethra. Surgical exploration showed complete urethral rupture and bilateral cavernosal rupture. This case represents the value of urethrogram to evaluate the urethral injury and the association of complete urethral injury with bilateral ventral cavernosal injury.

scholarly journals An Incidental Finding of Situs Ambiguus with Polysplenia in an Asymptomatic 70-Year-Old Male

2021 ◽  
pp. 1-3
Author(s):  
Christopher Ambrogi ◽  
◽  
Madina Ndoye ◽  
Keyword(s):  
Prostate Cancer ◽  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Incidental Finding ◽  
Anatomical Variation ◽  
Rare Condition ◽  
Situs Ambiguus ◽  
Abdominal Organs ◽  
The Right ◽  
Thoracic And Abdominal

The term “Situs ambiguus” describes the configuration when some, but not all thoracic and abdominal organs are abnormally positioned. It is commonly associated with polysplenia, or multiple spleens. 50-100% of situs ambiguus with polysplenia have associated cardiac malformations [1]. We present a 70 year old male who came to our hospital for complete, acute, urinary retention, and was found to have invasive prostate cancer. Incidentally, the liver was positioned on the left side, and the spleen was located on the right side. There were multiple perisplenic nodular formations with peripheral calcifications that had enhancement kinetics similar to those of the spleen, suggesting polysplenia. In low thoracic cuts, the tip of the heart was clearly on the left side. The presence of situs ambiguus with polysplenia in the absence of cardiac abnormalities makes this case a unique presentation of an already rare condition. Clinicians should regularly consider the possibilities of anatomical variation in their medical and surgical practices.

Post-transplant lymphocele: An unusual cause of acute urinary retention mimicking urethral injury

2006 ◽  
Vol 13 (4) ◽  
pp. 468-470 ◽  
Author(s):  
EU CHANG HWANG ◽  
TAEK WON KANG ◽  
YANG SEOK KOH ◽  
JUNG CHUL KIM ◽  
SEONG-KWON MA ◽  
...  
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Urethral Injury ◽  
Post Transplant

scholarly journals Sex-related penile fracture with complete urethral rupture: A case report and review of the literature

2015 ◽  
Vol 87 (3) ◽  
pp. 260 ◽  
Author(s):  
Marco Garofalo ◽  
Lorenzo Bianchi ◽  
Giorgio Gentile ◽  
Marco Borghesi ◽  
Valerio Vagnoni ◽  
...  
Keyword(s):  
Case Report ◽  
Emergency Surgery ◽  
Tunica Albuginea ◽  
Blunt Injury ◽  
Penile Shaft ◽  
Penile Fracture ◽  
Voiding Symptoms ◽  
First Choice ◽  
The Right ◽  
Urethral Rupture

Objective: To present the management of a patient with partial disruption of both cavernosal bodies and complete urethral rupture and to propose a non-systematic review of literature about complete urethral rupture. Material and method - Case report: A 46 years old man presented to our emergency department after a blunt injury of the penis during sexual intercourse. On physical examination there was subcutaneous hematoma extending over the proximal penile shaft with a dorsal-left sided deviation of the penis and urethral bleeding. Ultrasound investigation showed an hematoma in the ventral shaft of the penis with a discontinuity of the tunica albuginea of the right cavernosal corporum. The patient underwent immediate emergency surgery consisted on evacuation of the hematoma, reparation the partial defect of both two cavernosal bodies and end to end suture of the urethra that resulted completely disrupted. Results: The urethral catheter was removed at the 12-th postoperative day without voiding symptoms after a retrograde urethrography. 6 months postoperatively the patients was evaluated with uroflowmetry demonstrating a max flow rate of 22 ml/s and optimal functional outcomes evaluated with validated questionnaires. 8 months after surgery the patients was evaluated by dynamic magnetic resonance (MRI) of the penis showing only a little curvature on the left side of the penile shaft. Conclusion: Penile fracture is an extremely uncommon urologic injury with approximately 1331 reported cases in the literature till the years 2001. To best of our knowledge from 2001 up today, 1839 more cases have been reported, only in 159 of them anterior urethral rupture was associated and in only 22 cases a complete urethral rupture was described. In our opinion, in order to prevent long term complications, in case of clinical suspicion of penile fracture, especially if it is associated to urethral disruption, emergency surgery should be the first choice of treatment.

scholarly journals Non sex-related subtotal rupture of the corpus cavernosum without urethral injury: A case report and literature review

2016 ◽  
Vol 88 (3) ◽  
pp. 233 ◽  
Author(s):  
Zeki Bayraktar ◽  
Selami Albayrak
Keyword(s):  
Surgical Repair ◽  
Tunica Albuginea ◽  
Correct Diagnosis ◽  
Corpus Cavernosum ◽  
Early Surgery ◽  
Urethral Injury ◽  
Penile Fracture ◽  
Minimal Rate ◽  
The Right

Although penile fracture is a rare case, it is a well-described urologic emergency. It results from the rupture of the tunica albuginea of corpora cavernosa by blunt strain that commonly mandates immediate surgical exploration. Urethral injury may also accompany penile fracture. An ideal anamnesis and a special physical examination were determinant to achieve a correct diagnosis. It is usually diagnosed based on clinical examination, but ultrasonography can be very helpful in diagnosis. The treatment is based on the presence of associated urethral injury. Early surgery is preferable to conservative management, because it is associated with better outcomes and fewer long-term complications. The surgical repair of cavernous body can produce good results, with a favorable prognosis and minimal rate of complications. We present a penile fracture case of 34-year-old with subtotal rupture of the right corpus cavernosum without urethral injury who treated by early surgery and good results.

scholarly journals Penile Fracture with Associated Urethral Rupture

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Nicholas A. Boncher ◽  
Gino J. Vricella ◽  
Jason T. Jankowski ◽  
Lee E. Ponsky ◽  
Edward E. Cherullo
Keyword(s):  
Erectile Dysfunction ◽  
Surgical Repair ◽  
Potential Outcomes ◽  
Urethral Injury ◽  
Penile Curvature ◽  
Penile Fracture ◽  
Injury Treatment ◽  
Key Aspects ◽  
Urethral Rupture ◽  
Erect Penis

Penile fracture of the erect penis is an uncommon but emergent urological trauma. Potential outcomes include erectile dysfunction, penile curvature, and urethral injury. Treatment is emergent surgical repair. We present the case of a 42-year-old man with a penile fracture complicated by a urethral rupture and subsequent repair. A discussion of the key aspects of this condition is presented.

scholarly journals Penile fracture with urethral injury: Our experience in a tertiary care hospital

2019 ◽  
Vol 90 (4) ◽  
pp. 283-287
Author(s):  
Priyatham Kasaraneni ◽  
Prasad Mylarappa ◽  
Ramesh Desi Gowda ◽  
Sandeep Puvvada ◽  
Dheeraj Kasaraneni
Keyword(s):  
Tertiary Care ◽  
Urethral Injury ◽  
Common Mechanism ◽  
Care Hospital ◽  
Penile Fracture ◽  
Urethral Trauma ◽  
Effective Option ◽  
Urological Emergency ◽  
Local Examination

Penile fracture is a rare urological emergency that always requires immediate attention. It may be associated with urethral trauma in 9% to 20% of cases. We present our experience in treating 12 such cases. This is a prospective observational study extending from January 2000 to December 2016. Each patient with penile fracture underwent a thorough clinical evaluation and received proper treatment. Seventy-five patients with penile fracture, aged 25 to 36 years (mean, 31.5 years) were evaluated in this study. Sexual intercourse was the common mechanism of injury in most of the patients. 12 of the patients had associated urethral injury. All the patients were diagnosed on taking proper history and after clinical examination. All patients were subjected emergency surgical exploration. All the patients underwent minimum of 1 year of follow-up, and were evaluated with local examination, uroflowmetry and Colour Doppler ultrasonography. Penile fracture is associated with urethral injury especially in the presence of suggestive history and physical examination like acute urinary retention, bleeding per urethra. Immediate primary surgical management of both the penile fracture and urethral injury is a safe and effective option with minimal complications.

scholarly journals Penile fracture and associated urethral injury: Experience at a tertiary care hospital

2013 ◽  
Vol 7 (3-4) ◽  
pp. E168-170 ◽  
Author(s):  
Amit Attam ◽  
Arun Kerketta ◽  
Bharat Behera ◽  
Navin Ram ◽  
Sameer Trivedi ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Urethral Injury ◽  
Care Hospital ◽  
Penile Fracture ◽  
Urethral Trauma ◽  
Typical History ◽  
The Mean ◽  
High Level ◽  
Good Flow

Introduction: Penile fracture may be associated with urethral trauma in 1% to 38% of cases. We present our experience in treating 8 such cases.Methods: Data were collected retrospectively from hospital records and from out-patient department follow-up visits.Results: The mean age of the patients was 30.4 years; trauma during coitus was the most common cause of the penile fracture. One patient presented after 7 days. Two patients had normal examination of their penis despite typical history. All fractures were repaired on an emergency basis via subcoronal incision. In 2 patients with normal findings, the urethra had to be mobilized to locate the site of the injury. In 1 patient, the site of the urethral trauma was 1 cm away from the site of the corporal injury, which was localized by injecting sterile methylene blue per urethra. Postoperatively, all patients voided with good flow and had erections with adequate rigidity.Conclusion: A high level of suspicion for urethral injury during surgical exploration is warranted, especially in the presence of suggestive history and examination.

scholarly journals Penile fracture: A rare case of simultaneous rupture of the one corpus cavernosum and complete urethral rupture

2015 ◽  
Vol 72 (1) ◽  
pp. 60-62
Author(s):  
Djordje Nale ◽  
Nebojsa Bojanic ◽  
Predrag Nikic
Keyword(s):  
Tunica Albuginea ◽  
Corpus Cavernosum ◽  
Traumatic Rupture ◽  
Corpus Spongiosum ◽  
Penile Fracture ◽  
Voiding Function ◽  
The One ◽  
The Right ◽  
Urethral Rupture ◽  
Simultaneous Rupture

Introduction. Penile fracture is a traumatic rupture of tunica albuginea and the tumescent corpora cavernosa due to the nonphysiological bending of the penile shaft, presenting with or without rupture of corpus spongiosum and urethra. The incidence of concomitant injury of the urethra is 0-38%. Complete urethral rupture is rare, but it is almost always associated with bilateral corporeal injury. Case report. We presented a patient with complete urethral rupture, and rupture of the right cavernous body. According to the available literature, this case is extremely rare. Conclusion. Fracture of the penis is relatively uncommon and is considered a urologic emergency. Prompt surgical exploration and repair can preserve erectile and voiding function.

scholarly journals Profile of Diabetes Mellitus in Benign Protate Hyperplation’s Patients with Urinary Retention in Dr. Soetomo 2016

2019 ◽  
Vol 10 (2) ◽  
pp. 71
Author(s):  
Ahmad Zaidan Ni'am Abu Adha ◽  
Reny I'tishom ◽  
Fikri Rizaldi ◽  
Doddy Soebadi
Keyword(s):  
Diabetes Mellitus ◽  
General Hospital ◽  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Type I ◽  
Descriptive Research ◽  
Exact Etiology ◽  
Urological Emergency ◽  
Almost All ◽  
Common Manifestation

Introduction: Benign prostatic hyperplasia (BPH) develops inevitably related to age in almost all men starting around the age of 40 years. LUTS is the most common manifestation of BPH. There were several risk factors that play a role in the BPH and LUTS, one of which is diabetes mellitus. The incidence of diabetes mellitus is increasing throughout the world. In 2015, it was estimated that 30.3 million Americans (9.4%) and 3.4 million Canadians (9.3%) were diagnosed with diabetes. About 5% - 10% are diagnosed with type I, and around 90% - 95% are diagnosed with type II. The burden of the disease caused by diabetes is quite high and continues to increase in every country. It is estimated that the global prevalence of people with diabetes in 2013 as many as 382 million people will increase to 592 million by 2035. The exact etiology of BPH is still unknown. Acute urinary retention (AUR) is the most frequent urological emergency. This study aims to find out the number of occurrences of diabetes mellitus in BPH patients with urinary retention in Dr. Soetomo General Hospital from January to December 2016. Methods: This research used descriptive research design. Population in this study was BPH patients with acute urinary retention in Dr. Soetomo General Hospital in 2016. The total sampling method was used. The variable studied was diabetes mellitus. The data was obtained from the patient's medical record. Results: In this study, 62 subjects were found with 11 subjects with positive diabetes mellitus (17.7%) and 43 subjects with negative diabetes mellitus (69.4%). Conclusion: From the results of the study, it was found that there were 17.7% of BPH patients with acute urinary retention who had diabetes mellitus.

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