Complete Urethral Rupture Related with Penile Fracture Occurring during Sexual Intercourse: A Case Report and Review of the Literature

Girgin, Reha

doi:10.4274/jus.1402

Cited by 1 publication

(2 citation statements)

References 7 publications

(11 reference statements)

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“…Urethral injury with penile fracture is uncommon. [6] The common causes are trauma to an erect penis during coitus, masturbation and unconscious nocturnal penile manipulations or rolling over in bed. [7,8] Suggestive clinical features are a popping or cracking sound with significant pain and immediate detumescence, swelling and bruising with a lateral deformity and hematoma are evident on examination.…”

Section: Introductionmentioning

confidence: 99%

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Penile Fracture, Surgical Success and Complication Rate in 26 Cases

Alfgi¹,

Abuaniza²,

Hussien³

2019

IJCU

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A fracture of the penis is defined as the rupture of the tunica albuginea of corpora cavernosa as a result of blunt trauma to the erect penis commonly occurring during sexual intercourse or masturbation. Our objective is to present our experience in the management of penile fracture, surgical success and the complication rate. This study took place in the Urology Department of the Tripoli Medical Center on 26 patients in the form of a retrospective study between August 2003 and July 2018. The ages of the patients were between 19 and 61 years old (mean 34.23 years). The diagnosis was based on history and clinical examination. A circumferential sub coronal incision was made followed by degloving the penis to its base. The hematoma was evacuated and the tear was repaired using absorbable, interrupted stitches and the skin was closed with 3/0 undyed vicryl. Cefotriaxon 1 gm IV was given pre-operatively and continued for 5 days post-operative and diazepam 5 mg tab was given twice daily. The cause of penile fracture was masturbation in 11 patients. Intercourse was the cause in 9 cases and 6 were caused by rolling over the erect penis during sleep. All of the patients presented with swelling and ecchymosis and 18 patients underwent surgery within the first 24 hrs while 8 patients were operated on in the 2nd day. After six months of follow up, 19 patients (73.1%) were without complaint, of which 17 (89.47%) of them were operated on within the first 24 hrs and 2 patients (10.53%) were operated on in the 2nd day. Within the group, 7 patients (26.9%) had complications of which 6 patients were operated on after 24 hrs from the time of trauma and one patient who was operated on in the first 24 hrs and complained of painless penile deviation. Three patients had complications with penile deviation and with painful erection while 3 patients had complications of penile deviation. This experience showed that penile fracture is a rare urological emergency. Early surgical correction of penile fractures can be successful in preserving normal erections without significant complications whilst delayed operative management is associated with complications such as penile deviation and painful erection.

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Section: Introductionmentioning

confidence: 99%

“…Urethral bleeding indicates an associated urethral injury. [6] Diagnosis is clinical and a "rolling sign", with the palpation of localised clot over the tunical tear site which is pathognomic. [7,10] In doubtful cases cavernosography, penile ultrasonography and even MRI have been used.…”

Section: Introductionmentioning

confidence: 99%