False fracture of the penis

Shah, Darshan K.; Paul, Elliot M.; Meyersfield, S.; Schoor, Richard A.

doi:10.1016/s0090-4295(03)00106-7

Cited by 27 publications

(25 citation statements)

References 7 publications

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“…[910] These false penile injuries include superficial dorsal vein, deep dorsal vein and dorsal artery injuries as well as non-specific dartos bleeding. [1234]…”

Section: Discussionmentioning

confidence: 99%

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False fracture of the penis: Different pathology but similar clinical presentation and management

Kurkar¹,

Elderwy²,

Orabi³

2014

Urol Ann

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Introduction:Penile fracture is the most common presentation of acute penis. Rupture of the superficial dorsal penile vein (s) may mimic penile fractures with similar clinical presentation but with intact corporeal bodies. Our aim of the study is to highlight superficial dorsal penile vein (s) injury as true emergency with better prognosis.Subjects and Methods:Sixty-eight patients with suspected penile fractures presented to our hospital between June 2007 and January 2013. Out of these, 11 patients showed intact tunica albuginea on exploration with injured dorsal penile vein (s) identified. Records of such 11 cases were reviewed regarding age, etiology, symptoms, physical signs, findings of surgical exploration and post-operative erectile function.Results:All 11 patients were injured during sexual intercourse and presented with penile swelling and ecchymosis and gradual detumescence. Mild penile pain was encountered in 5 cases and the “snap” sound was noted in 2 cases. Examination revealed no localized tenderness, or tunical defect. All the patients regained penile potency without deformity after surgical ligation of the severed vessels. One patient developed penile hypoesthesia.Conclusion:Although the classic “snap” sound and immediate detumescence are usually lacking in the symptomology of dorsal penile vein rupture, its clinical presentation can be indistinguishable from true penile fracture. Surgical exploration is still required to avoid missing tunical tear with possible future complications. The long-term outcome and prognosis are excellent.

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“…[910] These false penile injuries include superficial dorsal vein, deep dorsal vein and dorsal artery injuries as well as non-specific dartos bleeding. [1234]…”

Section: Discussionmentioning

confidence: 99%

“…They include rupture of the penile superficial dorsal vein,[1] deep dorsal vein,[2] dorsal artery[3] and non-specific dartos bleeding. [4]…”

Section: Introductionmentioning

confidence: 99%

False fracture of the penis: Different pathology but similar clinical presentation and management

Kurkar¹,

Elderwy²,

Orabi³

2014

Urol Ann

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show abstract

“…15,25,26 False penile fracture has been described in the setting of penile trauma with swelling and ecchymosis, though the classic "pop" sound and rapid detumescence are absent. 27 The most common mimic of penile fracture is vascular injury to the dorsal penile artery and vein and is an instance where cavernosography may be useful. 28,29 When discovered intraoperatively, the injured dorsal penile vein may be managed with ligation.…”

Section: -21mentioning

confidence: 99%

Penile fracture with bilateral corporeal rupture and complete urethral disruption: case report and literature review

Hoag

Hennessey

2013

CUAJ

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Penile fracture is a rare injury most commonly sustained during sexual intercourse. We report the case of a 35-year-old man who presented with bilateral rupture of the corpora cavernosa and complete disruption of the urethra. A review of the literature on penile fracture is also presented. Urgent surgical exploration was performed and the injuries repaired primarily. In follow-up, the patient reported satisfactory erectile function. This case highlights the importance of early surgical repair and evaluation for concomitant urethral injuries in cases of penile fracture.

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“…Examination reveals a tender and significantly swollen penis, often with the typical 'eggplant' deformity, as hematoma collects deep to Buck's fascia (El-Sherif et al, 1991;Zargooshi, 2000;Sawh et al, 2008;Al-Shaiji et al, 2009). Differential diagnosis includes injury to the dorsal artery or veins producing a hematoma deep to the Dartos layer that may be mistaken for a fracture (Shah et al, 2003). In cases where the diagnosis is unclear, imaging -such as ultrasound, cavernosography, or MRI -can be helpful (Koga et al, 1993;Fedel et al, 1996).…”

Section: Introductionmentioning

confidence: 99%

Acute penile trauma and associated morbidity: 9-year experience at a tertiary care center

2015

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False fracture of the penis

Cited by 27 publications

References 7 publications

False fracture of the penis: Different pathology but similar clinical presentation and management

False fracture of the penis: Different pathology but similar clinical presentation and management

Penile fracture with bilateral corporeal rupture and complete urethral disruption: case report and literature review

Acute penile trauma and associated morbidity: 9-year experience at a tertiary care center

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