Isolated rupture of the superficial vein of the penis

Eken, Alper; Acil, Meltem; Arpaci, Taner

doi:10.5489/cuaj.1712

Cited by 3 publications

(8 citation statements)

References 7 publications

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“…Rupture of the dorsal vein of the penis is a rare condition (5) that can occur during sexual intercourse due to stretching of the skin of the penis or blunt trauma to an erect penis. Vascular lesions of the penis can be superficial or deep, depending on the location of the hematoma under or on Buck's fascia (3,4). Superficial rupture of the dorsal vein of the penis (Fig.…”

Section: Discussionmentioning

confidence: 99%

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Uncommon case of rupture of the superficial dorsal vein of the penis

Roger Kanza Ngengo,

Mohamed Amine Malki,

Anatole Belndoko

et al. 2024

World J. Adv. Res. Rev.

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Penile dorsal vein rupture is a rare condition that affects the vascular network of the penis. It is often misdiagnosed as a penile fracture. Diagnosis can be facilitated by ultrasound of the penis coupled with Doppler or magnetic resonance imaging. Treatment options include conservative or surgical approaches. This case report presents an adult patient who presented to the emergency department with a suspected penile fracture six hours after vigorous sexual intercourse. Although a fracture of the corpora cavernosa was ruled out, an intraoperative discovery revealed a rupture of the dorsal vein of the penis. The purpose of this article is to report an uncommon case of rupture of the superficial dorsal vein of the penis.

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Section: Discussionmentioning

confidence: 99%

“…The diagnosis is clinical, although in some cases it can be confused with rupture of the dorsal vein of the penis (2). Magnetic resonance imaging is the preferred diagnostic test, but its high cost and limited availability in hospitals can be a challenge (3,4). Surgical exploration can lead to a definitive diagnosis.…”

Section: Introductionmentioning

confidence: 99%

Uncommon case of rupture of the superficial dorsal vein of the penis

Roger Kanza Ngengo,

Mohamed Amine Malki,

Anatole Belndoko

et al. 2024

World J. Adv. Res. Rev.

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“…"False penile fracture" is another urological emergency that is difficult to distinguish from penile fracture. Mostly surgical exploration applies also to "false penile fracture" [1][2][3][4][5][6]. We believe it is possible to distinguish between these two different penile emergencies without the need for surgical exploration of "false penile fracture".…”

Section: Discussionmentioning

confidence: 99%

“…The rupture of penile vessels i.e. superficial dorsal vein, deep dorsal vein and dorsal artery may resemble a penile fracture without the tunical tear [1][2][3][4][5][6]. Those vascular injuries can be called "false penile fracture" which should be treated a different way.…”

Section: Introductionmentioning

confidence: 99%

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Penile Fracture and False Penile Fracture: Is The Surgical Treatment Always Necessary?

Polat

Lök²,

Gülaçtı³

2016

J Clin Exp Invest

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Objective: Penile fracture and "false penile fracture" are two emergent cases with similar clinical features. The differential diagnosis is important to avoid unnecessary surgery. In this study, we focused on understanding to distinguish between penile fracture and "false penile fracture". Methods: We retrospectively examined the clinicopathological features of 27 patients with a diagnosis of penile fracture and "false penile fracture" between June 2012 and June 2015. Results: Twenty-two patients were diagnosed with penile fracture with 20 out of 22 patients undergoing surgical treatment with no complications. Conservative treatment was applied to two patients, however one patient developed erectile dysfunction. Five patients were diagnosed with "false penile fracture". Two patients underwent surgical treatment and three patients underwent conservative treatment. There were no complications in the five patients. Conclusion: We suggest that surgical treatment is needed for the treatment of penile fracture. However, there is no need to surgical exploration for treatment of "false penile fracture". Conservative treatment is sufficient for "false penile fracture".

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Improving clinical diagnostic accuracy and management of False penile fractures characterizing typical clinical presentation: a systematic review and meta-analysis

et al. 2023

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Purpose False penile fractures (FPF) represent a rare sexual emergency characterized by blunt trauma of penis in the absence of albuginea’s injury, with or without lesion of dorsal penile vein. Their presentation is often indistinguishable from true penile fractures (TPF). This overlapping of clinical presentation, and lack of knowledge about FPF, can lead surgeons often to proceed directly to surgical exploration without further examinations. The aim of this study was to define a typical presentation of false penile fractures (FPF) emergency, identifying in absence of “snap” sound, slow detumescence, penile shaft ecchymosis, and penile deviation main clinical signs. Methods We performed a systematic review and meta-analysis based on Medline, Scopus and Cochrane following a protocol designed a priori, to define sensitivity of “snap” sound absence, slow detumescence and penile deviation. Results Based on the literature search of 93 articles, 15 were included (73 patients). All patients referred pain, most of them during coitus (n = 57; 78%). Detumescence occurred in 37/73 (51%), and all patients described detumescence occurrence as “slow”. The results show that single anamnestic item have a high-moderate sensibility in the diagnosis of FPF, and the highest sensitive item was penile deviation (sensibility = 0.86). However, when more than one item is present, overall sensitivity increases greatly, closing to 100% (95% Confidence Interval 92–100). Conclusion Surgeons can consciously decide between additional exams, a conservative approach, and rapid intervention using these indicators to detect FPF. Our findings identified symptoms with excellent specificity for FPF diagnosis, giving clinicians more useful tools for making decisions.

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Isolated rupture of the superficial vein of the penis

Cited by 3 publications

References 7 publications

Uncommon case of rupture of the superficial dorsal vein of the penis

Uncommon case of rupture of the superficial dorsal vein of the penis

Penile Fracture and False Penile Fracture: Is The Surgical Treatment Always Necessary?

Improving clinical diagnostic accuracy and management of False penile fractures characterizing typical clinical presentation: a systematic review and meta-analysis

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