Management of Penile Fracture

El-Taher, Ahmad M.; Aboul-Ella, Hassan A.; Sayed, Mohamed A.; Gaafar, Atef A.

doi:10.1097/01.ta.0000033140.73750.14

Cited by 63 publications

(71 citation statements)

References 13 publications

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“…Current literature supports immediate surgical repair which have minimal complications and goog functional outcome. 15,16 No immediate complications were seen in the patients while as on follow up 2 (4.1%) had pricking sensation at repair site, 2 (4.1%) patients had mild penile deviation during erection toward rent side, but it did not affect their sexual activities and 1 (2.01%) patient had mild painful erection. Nawaz H et al found penile deviation in 4.3% of patients.…”

Section: Discussionmentioning

confidence: 98%

Penile fracture; three years’ experience from a tertiary care centre

et al. 2018

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Background: To study cause, presentation, diagnosis and early management of penile fracture and to prevent the complications.Methods: In this study 48 patients of penile fracture were included in the study who were admitted in general surgery department at Government Medical College Srinagar from May 2007 to May 2010. All patients were evaluated with detailed history, clinical examination and baseline investigations followed by immediate surgical repair.Results: Age range of patients was 21-75 years. Youngest being 21 years and eldest being 75 years (median-30 years). 38(79.1%) patients were married while as 10(20.9%) patients were unmarried. Sexual intercourse was main cause, seen in 41(85.4%) of patients, aggressive masturbation in 5(10.4%) patients and rolling over in bed during erection was seen in 3(6.2%) patients. All patients presented in general surgery department with complaints of pain and swelling in penile region. Time interval between injury and presentation to the department ranged from 4-24 hours (mean 11 hours). Isolated cavernosa injury was seen in 43 (89.6%) patients, while as 5 (10.4%) patients were having associated urethral injury (3 were having partial injury and 2 complete urethral disruption). There was a ventral rent in 31(64.6%) patients and lateral rent in17 (35.4%). Size of tear in tunica albuginea was less than 1cms in 19(39.6%) patients, 1-2cm in 17(35.4) patients and more than 2cms in 12 (25%) patients. Patients were discharged on 2-5 days (mean 3.1 days). There were no immediate postoperative complications. 2 (4.1%) patients had pricking sensation at repair site, 1(2.05%) patient had pain during erection and 2 (4.01%) patients had mild deviation during erection on follow up.Conclusions: Penile fracture is a relatively rare urological emergency which mostly occurs during sexual intercourse or aggressive masturbation and is usually a clinical diagnosis. Early surgical repair avoids complications and preserves both sexual and voiding functions.

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Section: Discussionmentioning

confidence: 98%

Penile fracture; three years’ experience from a tertiary care centre

et al. 2018

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“…Penile fracture is described as the rupture of the tunica albuginea and/or corpus spongiosum in the erect penis caused by rapid blunt force [12]. The tunica albuginea, which has a normal thickness of 2 mm when the penis is flaccid, is stretched during erection and its thickness is reduced to 0.25 mm.…”

Section: Discussionmentioning

confidence: 99%

The role of ultrasonography in the diagnosis and management of penile trauma

Dell’Atti¹

2016

J Ultrasound

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Purpose In this prospective study, we studied the role of ultrasonography (US) in the diagnosis and management of penile trauma. Methods Between 2007 and 2014, 14 patients (mean age 39 years) with suspected penile fracture underwent US examinations. Almost all patients had a history of injury during sexual intercourse or manipulation of the penis. US examinations were performed in transversal and longitudinal planes starting at the level of the glans and moving down to the base of the penis. Color-Doppler was used to identify the vascular pattern or to see any abnormal vascularity. Results The most common blunt injury to the penis that occurred in nine patients was penile fracture due to rupture of the corpus cavernosum. A tear occurred in only one of the corpora cavernosa. US showed an irregular hypoechoic or hyperechoic defect at the cavernosal rupture site. Four patients presented an injury to the subtunical venous plexus in the absence of complete tunical disruption. One patient had urethral rupture with inability to urinate and apparent urethrorrhagia. Ten patients underwent surgical operation, while four patients were observed and discharged after 2 days. Mean follow-up was 32 months (range 3-58). After 8 to 12 weeks, all of them were able to be sexually active as before. Angulations of penis persisted in one patient. Conclusion US may be the preferred imaging technique for evaluation of penile fracture before surgery. It is easy to perform, non-invasive, widely available, and inexpensive, although it requires an experienced team.Keywords Penile trauma Á Penile fracture Á Ultrasonography Á Color-Doppler sonography Á Imaging Á Tunica albuginea Riassunto Scopo In questo studio prospettico abbiamo analizzato il ruolo dell'imaging ecografico nella diagnosi e gestione del trauma penieno. Metodi Tra il 2007 ed il 2014, 14 pazienti (età media: 39 anni) con sospetto di frattura del pene furono sottoposti ad uno studio ecografico. Quasi tutti i pazienti presentavano un riscontro anamnestico di traumi avvenuti durante un rapporto sessuale o manipolazione del pene. Gli esami ecografici furono eseguiti facendo scansioni su piani trasversali e longitudinali iniziando a livello del glande e procedendo sino alla base dell'asta. L'utilizzo del ColorDoppler è stato adoperato per visualizzare l'assetto vascolare o per identificare qualsiasi forma di anomalia vascolare. Risultati La più comune forma di rottura traumatica del pene accorsa in 9 persone fu quella del corpo cavernoso. la rottura si verificò sempre a livello di un singolo corpo cavernoso. Lo studio ultrasonografico identificò il punto di rottura a livello del corpo cavernoso attraverso la visualizzazione di un irregolare stria ipoecogena o iperecogena. 4 pazienti presentarono una lesione del plesso venoso al di sotto della tunica albuginea senza rottura della stessa. Un solo paziente riportò un trauma dell'uretra presentando difficoltà alla minzione ed uretrorragia. 10 pazienti furono sottoposti ad intervento chirurgico, mentre gli altri 4 furono ricovera...

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“…Tras el examen clínico, el diagnostico más fiable se obtiene mediante Resonancia Magnética Nuclear 5,6 ya que permite establecer la integridad de la albugínea, lo que será fundamental de cara a plantear o no una exploración quirúrgica 7 . También permite el diagnóstico diferencial con tumoraciones derivadas de partes blandas como en el caso descrito.…”

Section: Discussionunclassified

Hematoma espontáneo paracavernoso

Martínez‐Rodríguez

Gutiérrez-Ruiz

Rodríguez-Escovar

et al. 2007

Actas Urológicas Españolas

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RESUMENHEMATOMA ESPONTANEO PARA CAVERNOSO Se presenta un caso de hematoma perineal de disposición fusiforme, dependiente de los cuerpos cavernosos pero con integridad de los mismos, sin repercusión sobre la capacidad eréctil y sin antecedente causal conocido. Etiopatología, diagnóstico y tratamiento son analizados.Palabras clave: Cuerpos cavernosos. Hematoma. Lesión espontánea. ABSTRACT SPONTANEUOS HAEMATOMA FOR PARACAVERNOSOWe report a case of spontaneous, perineal haematoma depending on corpora cavernosa but without injury of them. No erectile dysfunction was associated. Not traumatic injury was known. Etiopathology, diagnosis and treatment are analyses.

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Management of Penile Fracture

Abstract: Penis fracture is a true urologic emergency. It should be treated surgically as early as possible to ensure a better outcome.

Cited by 63 publications

References 13 publications

Penile fracture; three years’ experience from a tertiary care centre

Penile fracture; three years’ experience from a tertiary care centre

The role of ultrasonography in the diagnosis and management of penile trauma

Hematoma espontáneo paracavernoso

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