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 Fracture penis: rare occurrence

2018 ◽  
Vol 5 (11) ◽  
pp. 3747
Author(s):  
Akhilesh Kumar Yadav ◽  
Sankalp Dwivedi ◽  
Sagar Bassi ◽  
Sunil Kumar Singh
Keyword(s):  
Blunt Trauma ◽  
Tunica Albuginea ◽  
Corpus Cavernosum ◽  
Penile Curvature ◽  
Corpus Spongiosum ◽  
Penile Fracture ◽  
Immediate Surgery ◽  
Almost All ◽  
Erect Penis

Fracture Penis is not usual. It is a tear in the tunica albuginea of the corpora cavernosa with or without involvement of corpus spongiosum and urethra. The usual cause is abrupt bending of the erect penis by blunt trauma, most commonly during sexual intercourse. A crackling sound, pain, detumescences, bruising, swelling, and bleeding per urethra are the common symptoms reported by the patients. Early surgical management is treatment of choice. Diagnosis of Penile Fracture refers to a rupture of the corpus cavernosum induced by blunt trauma to erect penis. Mainly diagnosed clinically from their stereotypical crackling sound from the erect penis at the moment of injury, rapidly followed by acute swelling, pain and penile deformity. Treatment recommendations include immediate exploration and repair. Surgical repair requires evacuation of hematoma, identification of tear, repair of the tear and ligation of any disrupted vasculature. Long term complications after repair include penile deviation, painful intercourse, painful erection and erectile dysfunction. The diagnosis of penile fracture is mostly clinical. Based on physical examination and typical crackling sound at the time of injury. Prompt surgical exploration and repair are advocated in almost all cases. Immediate surgery reduces long term complication which is post-traumatic penile curvature.

scholarly journals Case Report: Double penile fracture

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 1828
Author(s):  
Felipe Mercado-Olivares ◽  
J. Antonio Grandez-Urbina ◽  
Giomar Farfan-Daza ◽  
Juan Pacheco-Sauñe ◽  
Luciano Nuñez-Bragayrac
Keyword(s):  
Tunica Albuginea ◽  
Young Male ◽  
Successful Outcome ◽  
Urethral Injury ◽  
Penile Shaft ◽  
Post Injury ◽  
Penile Fracture ◽  
Surgical Exploration ◽  
The Third ◽  
Corpora Cavernosa

Penile fracture is an underreported surgical emergency. It usually occurs as a single rupture of the tunica albuginea in one of two corpora cavernosa; a rupture of both masses is an uncommon finding. We report a case of a young male who presented to the emergency department two hours after sustaining penile trauma. Prompt surgical exploration was performed four hours post-injury. He was found to have one fracture on each corpora cavernosa, without urethral injury, which were repaired successfully. The patient had a favorable recovery and was discharged on the third postoperative day without complications. The aim of this report is to highlight the importance of complete degloving of the penile shaft for a meticulous search during surgery to avoid missed injuries. This approach will ensure a successful outcome avoiding physical and psychological disabilities.

scholarly journals Urethral pseudodiverticulum secondary to penile fracture and complete urethra dissection

2013 ◽  
Vol 7 (5-6) ◽  
pp. 347 ◽  
Author(s):  
Giovanni B. Di Pierro ◽  
Luca Iannotta ◽  
Michele Innocenzi ◽  
Caterina Gulia ◽  
Vincenzo Gentile ◽  
...  
Keyword(s):  
Physical Examination ◽  
Surgical Repair ◽  
Tunica Albuginea ◽  
Urinary Flow ◽  
Suprapubic Catheter ◽  
Penile Fracture ◽  
Surgical Exploration ◽  
Corpora Cavernosa ◽  
Full Bladder ◽  
Urethral Lesion

A 22-year-old man reported cracking sound and acute pain during sexual intercourse followed by rapid penile detumescence and ecchymosis. He experienced more pain because he could not urinate and had a palpably full bladder. Moreover, his urethra was bleeding. Physical examination revealed swollen, ecchymotic and deviated penis and penis ultrasonography showed an injury of the tunica albuginea and Buck’s fascia with an expanding hematoma. Suprapubic catheter was positioned. Surgical exploration revealed a tear of tunica albuginea of both corpora cavernosa and complete urethral dissection. End-to-end urethral anastomosis and suture of corpora cavernosa lesion were performed. Vescical catheter was mantained for 6 days and suprapubic catheter for 3 months to allow a complete urethral healing. A pseudo diverticulum was found atanastomosis level on the urethrocistography 1 month after surgery. It disappeared by allowing micturition via the suprapubic catheter. The patient presented regular urinary flow and physiological erections 30 days later. In our experience, prompt surgical repair preserved erectile function and keeping the suprapubic catheter protected the urethra; this was the correct management for repairing the urethral lesion.

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 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 AB036. Long-term results in surgical treatment of penile fracture

2018 ◽  
Vol 7 (S5) ◽  
pp. AB036-AB036
Author(s):  
Mai Ba Tien Dung ◽  
Le Vu Tan ◽  
Dinh Quang Binh ◽  
Nguyen Phuc Cam Hoang ◽  
Tran Vinh Hung
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Penile Fracture

scholarly journals Penile Fracture - Our Initial Experience and Outcome

2020 ◽  
Vol 7 (51) ◽  
pp. 3070-3073
Author(s):  
Fayaz Ahmad Najar ◽  
Peer Hilal Ahmad Makhdoomi ◽  
Tajamul Rashid
Keyword(s):  
Tunica Albuginea ◽  
Functional Results ◽  
Sexual Problem ◽  
Urethral Injury ◽  
Penile Fracture ◽  
Surgical Exploration ◽  
Egg Plant ◽  
Keywords Fracture ◽  
History Of ◽  
Urethral Injuries

BACKGROUND Penile fractures occur when the engorged penile corpora are forced to buckle and “pop” under the pressure of a blunt sexual trauma, due to slippage of the penis out of the vagina during intercourse. Patients typically describe that a “plop” sound was followed by immediate de-tumescence, severe pain, and swelling, called as “egg-plant” deformity, as a result of the injury. The immediate surgical exploration with evacuation of the haematoma and repair of tunica albuginea defect is the ideal treatment. METHODS Over a period of more than 3 years between May 2015 and January 2019 we have treated 26 patients with penile fractures. All of them presented within 24 hours after sustaining the injury. None had associated urethral injury. Apart from clinical examination and history the investigation most commonly used by us to aid diagnosis was Ultrasound (USG) and colour doppler which helped in identifying the site and size of the defect as well as the blood collections. All were treated by surgical exploration. RESULTS Patients were discharged either on 2nd or 3rd post-operative day. None of our patients developed any postoperative wound infection. Post-operative hematoma developed in 01 patient. 01 patient had complaints of slight bend of the penis to the affected side but with no sexual problem. There was no history of erectile dysfunction in any of these patients. CONCLUSIONS To diagnose penile fracture, our study relied on history and physical examination mainly and did not recommend imaging, except for, in patients with possible urethral injuries. Immediate surgical intervention can make good functional results and surgical exploration can be considered in all cases of penile fractures. The procedure is simple with minimal morbidity, low morbidity and short hospital stay. KEYWORDS Fracture, Corpora, Tear

Long-Term Results of Immediate Surgical Treatment of Penile Fracture

2009 ◽  
Vol 50 (2) ◽  
pp. 165
Author(s):  
Min Gyun Kim ◽  
Ji Hyeong Yu ◽  
Luck Hee Sung ◽  
Choong Hee Noh ◽  
Jae Yong Chung
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Penile Fracture
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