Penile fracture: an unusual presentation with lacerations of bilateral corpora cavernosa and partial disruption of the urethra

Kowalczyk, John J.; Athens, Aris; Grimaldi, Anthony

doi:10.1016/s0090-4295(94)80069-3

Cited by 37 publications

(30 citation statements)

References 6 publications

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“…Uygur 7 reported that all patients interviewed at follow up (22 out of 32 patients) experienced coitus without dif®culty within a few weeks of surgical repair. Kowalczyk 14 reported excellent preservation of sexual function in a single case with bilateral corpora cavernosa lacerations and partial disruption of the urethra; Penile fracture repair assessed using color Doppler ultrasound P Gontero et al similar to patient 4 in the present series. The possibility of a cavernous artery injury was the main concern in the present series.…”

Section: Discussionsupporting

confidence: 58%

Penile fracture repair: assessment of early results and complications using color Doppler ultrasound

2000

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The aim of this study was to determine early results and complications of penile fracture treated with immediate surgical repair by means of color Doppler ultrasound study. Four patients with the clinical features of penile fracture were submitted to immediate surgical exploration via a subcoronal incision with repair of the torn cavernosal albuginea (unilateral in three cases, bilateral in one case) and anastomosis of the transected urethra (one case). Color Doppler ultrasound (CDUS) was performed by means of an Acuson 128XPa10 using a 7 ± 10 MHz extended frequency linear array transducer. Erectile function at ®ve months follow-up was reported as normal by two patients (age 59 and 55 y), slightly decreased in one case (bilateral partial cavernous fracture total urethral transection in a 32 y old) and weak in one case (51 y old). In the latter two, the investigation included a dynamic phase following a 10 mcg PGE injection.B-mode ultrasound showed no ®brotic changes in relation to the long-term absorbable suture material. Baseline CDUS demonstrated full length integrity of the cavernous arteries in all patients. The CDUS dynamic study was entirely normal in the patient with weak erection while showed a continuos venous leak in the patient with bilateral cavernosal rupture and transected urethra.We conclude that despite the onset of erectile failure in two out of four patients, there was no evidence of arteriogenic impotence in any patients with major penile fracture and thus we advocate early simple repair without any microsurgical exploration of the cavernosal arteries.

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Section: Discussionsupporting

confidence: 58%

Penile fracture repair: assessment of early results and complications using color Doppler ultrasound

2000

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“…5,6 Other bizarre causes include rolling out of bed and striking a wall, hitting a toilet seat, being thrown against the knob of a saddle, rolling out of a chair onto the floor. 1,2,7 The diagnosis of penile fracture was predicted from the history and physical examination in all our patients. Some investigators have recommended the use of ultrasound, carvernosography and magnetic resonance imaging to locate the site of the tunical tear before surgery.…”

Section: Discussionmentioning

confidence: 93%

Early surgical repair of penile fractures

Mensah¹,

Morton²,

Kyei³

2011

Ghana Medical Journal

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“…It is an uncommon injury, but is a medical emergency. While the tunica albuginea thickness of penis is about 2 mm in the flaccid state, the thickness decreases about 0.25 to 0.5 mm during penile erection [1]. The most common cause of penile fracture are traumas during sexual intercourse in patient's history [2].…”

Section: Discussionmentioning

confidence: 99%

“…The usual cause is blunt trauma during the penile erection. [1]. Diagnosis of penile fracture is easy.…”

Section: Introductionmentioning

confidence: 99%

Early Surgical Treatment of Penile Fracture: Our Experience with 19 Patients

Güzel¹

2015

Ann Clin Anal Med

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ÖzetAmaç: Penil fraktür nedeni ile cerrahi tedavi uyguladığımız hastaların sonuç-larını değerlendirmeyi amaçladık. Gereç ve Yöntem: Bu çalışmaya 2007-2013 yılları arasında hastanemize penil fraktür nedeni başvuran ve erken cerrahi onarım yapılan toplam 19 erkek hasta dahil edildi. Hastaların kayıtlarından operasyon öncesindeki yaş, uluslararası erektil fonksiyon indeksi'nin ilk 5 sorusu (IIEF-5) skoru, penil fraktür etiyolojisi, penil fraktür oluşumundan kliniği-mize başvurduğu ana kadar geçen süre ve hospitalizasyon süresi retrospektif olarak elde edildi. Operasyon sonrası dönemde, IIEF-5 skoru, penil his kaybı, ağrılı penil ereksiyon ve penil kurvatur gelişimi değerlendirildi. Bulgular: Hastaların ortalama yaşı 37.8 yıl idi. Ortalama takip süresi 33.4 ay idi. Ortalama cerrahiye kadar geçen süre ve hastaların operasyon öncesindeki ortalama IIEF-5 skoru sırası ile 11.1 saat ve 22.7 idi. Operasyon öncesindeki dönemde 1 hastada orta-hafif derecede erektil disfonksiyon (ED), 3 hastada hafif ED var idi. On beş hastada ED saptanmadı. Operasyon sonrasında-ki dönemde ortalama IIEF-5 skoru 19.3 idi. Operasyon öncesi ve sonrası dö-nemdeki IIEF-5 skorları arasında istatistiksel olarak anlamlı fark mevcut idi (p=0.01). Operasyon sonrasındaki dönemde 5 (%26.3) hastada penil kurvatür, 4 (%21.05) hastada ağrılı ereksiyon ve 2 (%10.52) hastada penil his kaybı saptandı. Sonuç: Sonuçlarımız ışığında, penil fraktür nedeni ile erken cerrahi tedavi yapılan hastaların operasyon sonrasındaki dönemde gelişebilecek olası penil kurvatur, ağrılı ereksiyon ve ED açısından iyi bilgilendirilmesi gerektiğine inanıyoruz. Anahtar KelimelerPenil Fraktür; Cerrahi; Komplikasyon Abstract Aim: We aimed to evaluate the outcomes of patients who underwent surgical treatment due to penile fracture. Material and Method: Between 2007 and 2013, a total of 19 patients admitted to our hospital for penile fracture treated with early surgical repair were included in the study. In the pre-operative period, Age, first-five questions version of International Index of Erectile Function (IIEF-5) scores, penile fracture etiology, penile fracture formation, duration until referred to our hospital and duration of hospitalization were retrospectively obtained from medical data of patients. In the post-operative period, IIEF-5 scores, loss of penile sensation, painful erection and penile curvature development were evaluated. Results: The mean age of patients was 37.8 years. The mean follow-up time was 33.4 months. The mean time until the surgery and pre-operative IIEF-5 score were 11.1 hours and 22.7, respectively. In pre-operative period, 1 patient had mild-moderate degree erectile dysfunction (ED), 3 patients had mild degree ED. Fifteen patients had no ED. The mean of post-operative IIEF-5 score was 19.3. There was a significant difference between pre-operative and post-operative IIEF-5 scores (p=0.01). In the post-operative period, penile curvature was detected in 5 (26.3%), painful penile erection in 4 (21%) and loss of penile sensation in 2 (%10.5) patients. Discu...

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Penile fracture: an unusual presentation with lacerations of bilateral corpora cavernosa and partial disruption of the urethra

Cited by 37 publications

References 6 publications

Penile fracture repair: assessment of early results and complications using color Doppler ultrasound

Penile fracture repair: assessment of early results and complications using color Doppler ultrasound

Early surgical repair of penile fractures

Early Surgical Treatment of Penile Fracture: Our Experience with 19 Patients

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