Fractura de cuerpo cavernoso: la ecografía en el diagnóstico de urgencia

Gracia, M. Martí De; Iriondo, I. Muñiz; Fresnadillo, J. P. Garcia; Requena, H. Rodriguez; Matos, Arlindo; Pinilla, Inmaculada

doi:10.1016/j.rx.2011.07.001

Cited by 7 publications

(4 citation statements)

References 9 publications

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“…The presence of bloodstained urethral meatus, gross hematuria, or inability to urinate should alert to the possibility of concomitant urethral injury. We find that the classic clinical findings of rupture are enough for surgical exploration; however, the high sensitivity and specificity of US in the identification of disruption of the tunica albuginea renders it a useful technique for confirmation of clinically suspected corpus cavernosum ruptures [9]. We used US as tool of diagnosis in 60.7% of cases, however noninvasive US depends on the observer's skill as the site of the tunical tear can be missed if it is too small or is filled with a clot that renders it indistinguishable from the surrounding normal tunica albuginea [10].…”

Section: Discussionmentioning

confidence: 99%

Traumatic rupture of the corpus cavernosum: surgical management and clinical outcomes. A 30 years review

Rivas

Dorrego

Hernández

et al. 2014

CEJU

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IntroductionPenile trauma (PT) with associated rupture of the corpus cavernosum, also called penile fracture, is a urological emergency and surgical treatment is usually the choice of management. Our objective is to report our experience after 30 years in the diagnosis and therapeutic options of PT and evaluate the clinical outcomes after the treatment.Material and methodsFrom January 1983 to January 2013, 27 patients were identified. Data was analyzed and is presented in absolute numbers, range, percentage and mean.ResultsMean age of patients was 30.7 years, range from 19 to 37. All the patients came complaining of penile swelling and hematoma, and more than half of them (60.7%) reported hearing a snap sound. Some rare causes were identified in our series such as self–mutilation, avulsion, firearm and electrocution. Clinical presentation was diagnostic in all the patients, and the diagnosis was verified by penile ultrasonography in most cases (60.7%). Mean surgery time: 94 minutes. Urethral repair was required in 2 patients. Mean hospital stay was 2 days. Good functional results are shown during follow up.ConclusionsRupture of the corpus cavernosum is a rare condition and is generally diagnosed by clinical findings. Emergency surgical exploration and treatment is the best guarantee of good functional and cosmetic results.

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Section: Discussionmentioning

confidence: 99%

Traumatic rupture of the corpus cavernosum: surgical management and clinical outcomes. A 30 years review

Rivas

Dorrego

Hernández

et al. 2014

CEJU

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“…El conocimiento de las características ecográficas de la fractura del cuerpo cavernoso permite confirmar la sospecha clínica evitando exploraciones quirúrgicas innecesarias 4 , realizar un adecuado diagnóstico diferencial con lesiones de la vena dorsal del pene o de vasos de menor calibre, cuyo tratamiento es conservador, localizar con precisión el área afectada -dirigiendo la incisión cuando se sospechan lesiones pequeñas 1 y descartar el compromiso de estructuras adyacentes como la uretra. Otras técnicas útiles como la resonancia magnética y la cavernosografía son poco accesibles en Urgencias.…”

Section: Discussionunclassified

“…Otras técnicas útiles como la resonancia magnética y la cavernosografía son poco accesibles en Urgencias. La uretrocistografía miccional resulta de utilidad en los casos de rotura uretral 4 .…”

Section: Discussionunclassified

“…En un caso se realizó una incisión longitudinal corporal sobre el hematoma, procediéndose a evacuarlo y suturar la túnica albugínea comprometida. En los cuatro restantes se practicó una incisión circunferencial subcoronal con denudación del pene hasta su base 4 , lo que permitió una exploración amplia de los cuerpos cavernosos y de la uretra, evacuación del hematoma y sutura discontínua de la túnica albugínea afectada con material reabsorbible de 4/0 (reservamos la sutura irreabsorbible para los pocos casos de rotura recidivante). El postoperatorio transcurrió sin incidencias y actualmente todos se encuentran asintomáticos.…”

Section: Casos Clínicosunclassified

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Fracturas Del Pene

González

et al. 2014

Rev Chil Cir

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Penile fracture Background: Penile fracture occurs when the erect penis is bent suddenly and forcefully, rupturing the tunica albuginea of one or both of the corpus cavernosum. A delay in its treatment may lead to functional and morphological sequelae. Case reports: We report five patients aged 26 to 44 years with penile fracture and right corpus cavernosum involvement. All patients excepting one had felt pain. An emergency ultrasound was done in three cases to confirm the diagnosis and the extension of the lesion. All were operated, had an uneventful postoperative period and are currently asymptomatic.

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