Atypical presentation of a vertical penile fracture

Hughes, Sam; Elbaroni, Wissam; O'Donoghue, J.; Williams, Marc

doi:10.1136/bcr-2021-243353

Cited by 3 publications

(2 citation statements)

References 12 publications

(3 reference statements)

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“…Six retrospective studies (20)(21)(22)(23)(24)(25), two prospective study (26,27), and seven case reports were included in the present systematic review (21,(28)(29)(30)(31)(32)(33)(34). Two from India, two from Egypt, two from the United States, and one from Serbia, Italy, Slovenia, Canada, China, Peru, Tunisia, Brazil and UK each.…”

Section: General Characteristics Of the Included Studies And Prevalen...mentioning

confidence: 99%

The presentation and outcomes of penile fracture with associated urethral injury: A systematic literature review

Shebl

2023

Arch Ital Urol Androl

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Purposes: Penile fracture (PF) with associated urethral injury has been described as a rare condition yet a serious urological emergency. We conducted this systematic review to address the current literature concerning the etiology, presentations, intra-operative findings, site of injury, and complications of PF with associated urethral injury, Materials and Methods: The present systematic review was limited to human-based studies published in English language, and reporting clinical data on PF cases with associated urethral injuries. A comprehensive search of the literature was conducted on five electronic databases from their inception to May 2022: Medline via PubMed, Web of Science, Google Scholar, Scopus, and EBSCO host. Results: A total of 15 studies were included encompassing 1671 patients with PF. Out of 1665 patients with PF retrieved from the case series studies, 65 patients had associated urethral injuries giving a point prevalence of 3.9%. The vast majority of the patients had blood on the meatus and hematuria suggestive of urethral injury (57/59; 96.6%). Forty patients had partial urethral disruption and the rest of the patients had a complete rupture. All patients received primary urethroplasty as the main modality of treatment. The median hospital stay was two days and the median duration of transurethral catheterization was 21 days. Five patients (8.5%) developed urethral stricture; other complications included penile curvature (6.7%), palpable fibrosis (6.7%), and erectile dysfunction (3.4%). Conclusions: Urethral injuries are uncommon, but serious findings, in patients with PF. Primary urethroplasty appears to achieve satisfactory outcomes with a low incidence of short and long-term complications.

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Section: General Characteristics Of the Included Studies And Prevalen...mentioning

confidence: 99%

The presentation and outcomes of penile fracture with associated urethral injury: A systematic literature review

Shebl

2023

Arch Ital Urol Androl

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“…The data so far show that 88.5% of penile fractures occur during intercourse. The literature specifies that the main etiological positions are sex in the "woman-on-top" and "doggy style" positions [2]. Penile fracture typically manifests as a sudden hematoma and ecchymosis followed by a sudden "eggplant deformity" [3].…”

Section: Introductionmentioning

confidence: 99%

Penile fracture with urethral rupture - case report

Radomska

Handzlik

Ostrowska

et al. 2022

J Educ Health Sport

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Introduction Penile fracture is a rupture of the tunica albuginea of the corpus cavernosum caused by an erect penis injury. It is noticed that hematomas always accompany penile fractures. We present a rare case of penile fracture between corpus cavernosus and urethra without hematoma formation. Case Presentation: A 41-year-old male patient presented to the emergency department due to a continuous flow of blood from his urethra, which started an hour earlier due to a penile injury during vigorous sexual intercourse. There was no audible 'snap' sound, but the incident was followed by severe pain and immediate loss of tumescence. His bleeding continued until surgery. No hematoma was observed – Figure 1. A urethrography was performed, and afterward, an experienced urologist inserted a catheter without encountering any resistance. The patient was diagnosed with rupturing the tunica albuginea of the corpus cavernosum and the urethra. No hematoma was found, and primary revision was performed. Urethra and tunica albuginea was sutured. After four weeks catheter was removed. The patient recovered with good uroflowmetry results and did not report erectile dysfunction. Conclusions Rapture of tunica albuginea to the urethra may cause severe bleeding without formation of the hematoma and "eggplant deformity." Therefore, early intervention is crucial to sustain erectile function and avoid urethral stricture.

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Etiology, Mechanism, and Anatomopathology of Penile Injury

AL-Mamari

2023

Urogenital Trauma: A Practical Guide

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Atypical presentation of a vertical penile fracture

Cited by 3 publications

References 12 publications

The presentation and outcomes of penile fracture with associated urethral injury: A systematic literature review

The presentation and outcomes of penile fracture with associated urethral injury: A systematic literature review

Penile fracture with urethral rupture - case report

Etiology, Mechanism, and Anatomopathology of Penile Injury

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