Isolated penile injury in boys: Accident, negligence, or abuse?

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

Download Full-text

Painful attraction: a magnetic penile injury

Journal of the Royal Society of Medicine ◽

10.1258/jrsm.98.3.122 ◽

2005 ◽

Vol 98 (3) ◽

pp. 122-123 ◽

Cited By ~ 3

Author(s):

S. A Rice

Keyword(s):

Penile Injury

Download Full-text

Unusual presentation of a periurethral abscess following infection with Neisseria gonorrhoea

BMJ Case Reports ◽

10.1136/bcr-2021-246494 ◽

2022 ◽

Vol 15 (1) ◽

pp. e246494

Author(s):

Robin Shepherd ◽

Alexandra Crossland ◽

Rafal Turo ◽

Michelle Christodoulidou

Keyword(s):

Unusual Case ◽

Rare Complication ◽

Health Centre ◽

Contact Tracing ◽

Abscess Drainage ◽

Sexually Transmitted ◽

Neisseria Gonorrhoea ◽

Urethral Fistula ◽

Penile Injury ◽

Urethral Lesion

We describe an unusual case of a male patient presenting with penile and testicular swelling following an unprotected and traumatic sexual encounter. It was suspected that an isolated penile injury occurred during intercourse; however, ultrasound imaging identified an intact tunical layer and right-sided epididymo-orchitis. Following screening for sexually transmitted infections (STIs), he was discharged with antibiotics and advice to attend the Sexual Health Centre for contact tracing. He represented with a periurethral abscess and an antimicrobial-resistant (AMR) strain of Neisseria gonorrhoea was identified. Appropriate antibiotic treatment was initiated. Examination-under-anaesthesia, following abscess drainage, revealed a contained collection with no urethral fistula; however, a flat urethral lesion was seen during urethroscopy. Repeat urethroscopy and biopsy of the lesion indicated polypoid urethritis. Periurethral abscess secondary to gonococcal urethritis is a rare complication, but one that we should be suspicious of, especially with the growing incidence of AMR-STIs.

Download Full-text