scholarly journals Penile Fracture-Report of Two Cases and Review of Current Literatures

2020 ◽  
Vol 19 (2) ◽  
pp. 98-102
Author(s):  
Ashraf Uddin Mallik ◽  
MD Tareque Hasan ◽  
Horobilash Halder
Keyword(s):  
Treatment Options ◽  
Traumatic Rupture ◽  
Penile Fracture ◽  
Corpora Cavernosa ◽  
Effective Treatment Modality ◽  
Special Cases ◽  
History Of ◽  
Penile Injury ◽  
Urological Emergency ◽  
Erect Penis

Penile fracture is an uncommon urological emergency especially in Bangladesh. The other name is traumatic rupture of the tunica albugenia and corpora cavernosa in erect penis. It occurs when an erect penis face to buckle under the pressure of a blunt sexual trauma. Patient gives the typical history of immediate detumescence, severe pain, swelling and eggplant deformity of the penile shaft due to penile injury. Immediate surgical exploration and repair of corpora Cavernosa with tunica albugenia is the most effective treatment modality. In normal cases diagnosis is made from history, physical examination alone. In some special cases ultrasonogram, radiological images, including retrograde urethrography or cavernosography are mandatory for proper diagnosis.Herein, we report 2 cases of penile fracture with review of current literature regarding treatment options. Bangladesh Journal of Urology, Vol. 19, No. 2, July 2016 p.98-102

Penile Fracture-Report of Two Cases and Review of Current Literature

KYAMC Journal ◽  
2019 ◽  
Vol 10 (2) ◽  
pp. 122-125
Author(s):  
Ashraf Uddin Mallik ◽  
Mostafizur Rahman ◽  
Fatema Bagum ◽  
Uttam Karmaker ◽  
Baikali Ferdous ◽  
...  
Keyword(s):  
Tunica Albuginea ◽  
Traumatic Rupture ◽  
Penile Fracture ◽  
Corpora Cavernosa ◽  
Effective Treatment Modality ◽  
Special Cases ◽  
History Of ◽  
Penile Injury ◽  
Urological Emergency ◽  
Erect Penis

Penile fracture is an uncommon urological emergency, especially in Bangladesh. The other name is traumatic rupture of the tunica albuginea and corpora cavernosa in the erect penis. It occurs when an erect penis face to buckle under the pressure of a blunt sexual trauma. Patient gives the typical history of immediate detumescence, severe pain, swelling and eggplant deformity of the penile shaft due to penile injury. Immediate surgical exploration and repair of corpora Cavernosa with tunica albugenia is the most effective treatment modality. In normal cases diagnosis is made from history, physical examination alone. In some special cases ultrasonogram, radiological images, including retrograde urethrography or cavernosography are mandatory for proper diagnosis. KYAMC Journal Vol. 10, No.-2, July 2019, Page 122-125

scholarly journals Delayed Successful Surgical Repair of Penile Fracture: A Case Report

2018 ◽  
Vol 12 (2) ◽  
pp. 111-112 ◽  
Author(s):  
Ioannis Galanakis ◽  
Konstantinos Adamos ◽  
Evangelos Spyropoulos ◽  
Stamatios Mavrikos
Keyword(s):  
Surgical Treatment ◽  
Tunica Albuginea ◽  
Standard Of Care ◽  
Late Complications ◽  
Traumatic Rupture ◽  
Penile Curvature ◽  
Delayed Presentation ◽  
Current Standard ◽  
Penile Fracture ◽  
Urological Emergency

Penile fracture is a very rare urological emergency resulting from traumatic rupture of the tunica albuginea of one or both corpora cavernosa, usually during sexual intercourse. Immediate surgical treatment is the current standard of care with lower risks of late complications, including erectile dysfunction, penile curvature, and tunical scar formation. We, hereby, report an over delayed presentation (23 days) of a penile fracture, which was successfully managed surgically. Our case emphasizes on the fact that there are not any “lost” cases and surgical treatment should always be offered to penile fracture, independently of delayed presentation.

scholarly journals Diagnostic and management of penile fracture: A literature review

2019 ◽  
Vol 5 (4) ◽  
pp. 162-164
Author(s):  
Josaphat PALUKU KATSWERE ◽  
◽  
Atef BAHLOUL ◽  
René HOUNSOU ◽  
Samson TODALEHOU ◽  
...  
Keyword(s):  
Literature Review ◽  
Standard Treatment ◽  
Symphysis Pubis ◽  
Penile Fracture ◽  
Urological Emergency ◽  
Erect Penis

Penile fracture is a real urological emergency; it is underreported due to the shyness to describe it. It usually occurs during intercourse when the erect penis forcefully hits against the perineum or symphysis pubis. While imaging may be used as an adjunct to aid diagnosis, especially in equivocal cases, the diagnosis remains mostly a clinical one. Standard treatment is immediate surgical. Preferred incision to be employed is subcoronal circumferential incision with minimal complications and excellent results

scholarly journals Delayed Presentation of a Penile Fracture: A Case Report

2021 ◽  
Vol 4 (1) ◽  
pp. 56-58
Author(s):  
Ashok Kumar Yadav ◽  
Sudhir Kumar Singh ◽  
Raju Chapagain ◽  
Prem Das ◽  
Jag Mohan Osti ◽  
...  
Keyword(s):  
Case Report ◽  
Spinal Anesthesia ◽  
Blunt Trauma ◽  
Clinical Diagnosis ◽  
Clinical Examination ◽  
Delayed Presentation ◽  
Penile Fracture ◽  
Urological Emergency ◽  
Bluish Discoloration ◽  
Erect Penis

Penile fracture is a urological emergency caused by blunt trauma to an erect penis. We report a case of a 40-year-old male who presented with a complaint of a painful swelling of the penis for 4 days. On examination, a flaccid swollen tender penis with bluish discoloration over the shaft and scrotum was noted. A clinical diagnosis of delayed penile fracture was made which was managed immediately surgically under spinal anesthesia. Ourreport emphasizes that penile fracture is diagnosed solely on a reliable history and clinical examination. It has outstanding outcome despite delayed presentation if treated promptly.

scholarly journals Penile Fracture : Experience from a Tertiary Care Hospital

2019 ◽  
Vol 6 ◽  
Author(s):  
Malik Suhail Ahmad ◽  
Irfan Nazir Mir ◽  
Malik Faizan Abbass
Keyword(s):  
Tunica Albuginea ◽  
Tertiary Care ◽  
Corpus Cavernosum ◽  
Care Hospital ◽  
Postoperative Complication Rate ◽  
Penile Fracture ◽  
Jammu And Kashmir ◽  
History Of ◽  
The Mean ◽  
Erect Penis

Introduction: Penile fracture is a misnomer,penile fracture is defined as rupture of the tunica albuginea of one or both corpus cavernosum. The usual cause is abrupt bending of the erect penis by blunt trauma, which may occur during sexual intercourse, masturbation, rolling over on the bed or falling onto the erect penis. Diagnosis of penile fracture is made on the basis of history and physical examination.standard mode of management is surgical.Methods: This retrospective study was conducted in the department of surgery SMHS hospital srinagar ,(Jammu and Kashmir), extending over a period of about three and a half years from june 2013 to January 2017 . All patients with diagnosed penile fracture were included in this study. All except one patient were operated one the same day of admission.Results: out of a total of 50 patients studied ,the mean age of presentation was 26.7 years.Majority (56%)were below 30 years of age.21 (42%) of the patients were married.majority42% of the patients reported masturbation as cause of trauma,followed by vaginal intercourse in38% and rolling on erect penis in 20%.About 80% patients gave history of audible click/crackling sound.All patients had swelling and discolouration on examination,90% patients had penile deformity,only 36 % had palpable defect.Dopler USG was correct in 93% patients.Majority (44%) patients had defect less than 1cm.defect was mostly seen on right side (68%).most patients had proximal penile defect (56%). Mean hospital stay was 2.9 days. One patient (2%) had urethral trauma.Surgery had a recurrence of 2%.and a total postoperative complication rate of 10%.Conclusions: Penile fracture though reported rarely, is a common entity. Penile fracture is a urological emergency.Diagnosis is mainly on clinical grounds.Immediate surgical repair is the standard treatment of penile fracture.

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 Our experience with the management of penile fracture: a single institutional prospective observational study in eighteen patients over a two-year period

2021 ◽  
Vol 8 (7) ◽  
pp. 2089
Author(s):  
Soumish Sengupta ◽  
Supriya Basu ◽  
Kadambari Ghosh ◽  
Subhrajyoti Sengupta
Keyword(s):  
Observational Study ◽  
Sexual Intercourse ◽  
Erectile Function ◽  
Prospective Observational Study ◽  
Tunica Albuginea ◽  
Penile Curvature ◽  
Penile Fracture ◽  
Fracture Management ◽  
History Of ◽  
Urological Emergency

Background: Penile fracture is a not an unusual encounter in urological emergency. The condition results from disruption of the tunica albuginea which envelops the corpora cavernosa as a result of any condition which leads to the sudden rise of intra-cavernosal pressure. The study was designed to analyse the clinical spectrum and complication of penile fracture.Methods: This is a prospective observational study undertaken from April, 2019 to March, 2021on 18 patients. The demographic profile of all the patients, aetiology of penile fracture, management strategies and pre-operative sexual functions were documented. Erectile function was evaluated using international index of erectile function (IIEF).Results: Seventeen out of 18 patients (94.44%) gave a history of injury during sexual intercourse. Out of the seventeen patients with history of injury following sexual intercourse, only 9 (52.94%) were married. 15 (93.75%) had disruption of the tunica albuginea in the ventrolateral position with 10 patients (66.66%) on the right side. Patients were followed up in the OPD after 2 weeks and then at 6 month and 1-year intervals. At 12 months postop, none of the patients complained of sexual inactivity. Average time to return to sexual activity was 3.2 months. Two patients complained of penile curvature >20 degree. Six patients complained of penile nodule at the site of repair.Conclusions: Penile fracture is a urological emergency which is primarily diagnosed clinically. Prompt diagnosis and surgical exploration gives good outcome in terms of preservation of sexual function.

scholarly journals Penile fracture in a 32-year old man with sexual dysfunction: A case report of rare outcome of the use of aphrodisiacs

2021 ◽  
Vol 14 (1) ◽  
pp. 071-074
Author(s):  
Paul O. Dienye ◽  
Japhet Nwapi ◽  
Alali Dan-Jumbo
Keyword(s):  
Sexual Dysfunction ◽  
Tunica Albuginea ◽  
Standard Of Care ◽  
Late Complications ◽  
Traumatic Rupture ◽  
Penile Curvature ◽  
Current Standard ◽  
Penile Fracture ◽  
Urological Emergency ◽  
Recreational Use

Penile fracture is a very rare urological emergency resulting from the traumatic rupture of the tunica albuginea of one or both corpora cavernosa. Immediate surgical treatment is the current standard of care with lower risks of late complications, including erectile dysfunction, penile curvature, and tunical scar formation. We report a case of a patient with sexual dysfunction who took a combination of Anafranil and Sildenafil to enhance his sexual performance to satisfy his girlfriend, but ended with a penile fracture. Our case exposes the degree of frustration suffered by patients with sexual dysfunction and the extent to which they can go in the quest for a solution to their problem, the outcome may be unfavorable.Patients should be informed about the possible complications of Sildenafil either used singly or co-administered with Anafranil for improved sexual function, and recreational use of these drugs should be discouraged.

Management of thoracic aortic lesions - the future is endovascular

VASA ◽  
2012 ◽  
Vol 41 (3) ◽  
pp. 163-176 ◽  
Author(s):  
Weidenhagen ◽  
Bombien ◽  
Meimarakis ◽  
Geisler ◽  
A. Koeppel
Keyword(s):  
Thoracic Aorta ◽  
Clinical Decision Making ◽  
Treatment Options ◽  
Clinical Decision ◽  
Clinical Results ◽  
Treatment Modalities ◽  
Traumatic Rupture ◽  
Descending Thoracic Aorta ◽  
New Treatment ◽  
Aneurysm Dissection

Open surgical repair of lesions of the descending thoracic aorta, such as aneurysm, dissection and traumatic rupture, has been the “state-of-the-art” treatment for many decades. However, in specialized cardiovascular centers, thoracic endovascular aortic repair and hybrid aortic procedures have been implemented as novel treatment options. The current clinical results show that these procedures can be performed with low morbidity and mortality rates. However, due to a lack of randomized trials, the level of reliability of these new treatment modalities remains a matter of discussion. Clinical decision-making is generally based on the experience of the vascular center as well as on individual factors, such as life expectancy, comorbidity, aneurysm aetiology, aortic diameter and morphology. This article will review and discuss recent publications of open surgical, hybrid thoracic aortic (in case of aortic arch involvement) and endovascular repair in complex pathologies of the descending thoracic aorta.

Benign Intracranial Lesions - Radiotherapy: An Overview of Treatment Options, Indications and Therapeutic Results

2020 ◽  
Vol 15 (2) ◽  
pp. 93-121
Author(s):  
Vasileios Tzikoulis ◽  
Areti Gkantaifi ◽  
Filippo Alongi ◽  
Nikolaos Tsoukalas ◽  
Haytham Hamed Saraireh ◽  
...  
Keyword(s):  
Effective Treatment ◽  
Treatment Modality ◽  
Radiation Effects ◽  
Treatment Options ◽  
Proton Beam Therapy ◽  
Tumor Control ◽  
Control Growth ◽  
Effective Treatment Modality ◽  
Intracranial Lesions

Background: Radiation Therapy (RT) is an established treatment option for benign intracranial lesions. The aim of this study is to display an update on the role of RT concerning the most frequent benign brain lesions and tumors. Methods: Published articles about RT and meningiomas, Vestibular Schwannomas (VSs), Pituitary Adenomas (PAs), Arteriovenous Malformations (AVMs) and craniopharyngiomas were reviewed and extracted data were used. Results: In meningiomas RT is applied as an adjuvant therapy, in case of patientrefusing surgery or in unresectable tumors. The available techniques are External Beam RT (EBRT) and stereotactic ones such as Stereotactic Radiosurgery (SRS), Fractionated Stereotactic RT (FSRT), Intensity Modulated RT (IMRT) and proton-beam therapy. The same indications are considered in PAs, in which SRS and FSRT achieve excellent tumor control rate (92-100%), acceptable hormone remission rates (>50%) and decreased Adverse Radiation Effects (AREs). Upon tumor growth or neurological deterioration, RT emerges as alone or adjuvant treatment against VSs, with SRS, FSRT, EBRT or protonbeam therapy presenting excellent tumor control growth (>90%), facial nerve (84-100%), trigeminal nerve (74-99%) and hearing (>50%) preservation. SRS poses an effective treatment modality of certain AVMs, demonstrating a 3-year obliteration rate of 80%. Lastly, a combination of microsurgery and RT presents equal local control and 5-year survival rate (>90%) but improved toxicity profile compared to total resection in case of craniopharyngiomas. Conclusion: RT comprises an effective treatment modality of benign brain and intracranial lesions. By minimizing its AREs with optimal use, RT projects as a potent tool against such diseases.

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