Penile fracture: differential diagnosis, management and outcome

Karadeniz, Tahir; Topsakal, Medih; Arıman, Ahmet; Erton, H.; Basak, Dogan

doi:10.1046/j.1464-410x.1996.86420.x

Cited by 116 publications

(105 citation statements)

References 1 publication

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“…Furthermore this is supported by a long-term follow-up study con®rming the preservation of potency in a majority of patients based on interview. 5,7 Penile curvature or induration similar to Peyronie's disease is reported in most series which does not generally affect sexual performance. 5,8 Currently, color Doppler ultrasound (CDUS) is the most useful noninvasive technique for evaluating vascular dynamics of the erection mechanism.…”

Section: Introductionmentioning

confidence: 98%

“…5,7 Penile curvature or induration similar to Peyronie's disease is reported in most series which does not generally affect sexual performance. 5,8 Currently, color Doppler ultrasound (CDUS) is the most useful noninvasive technique for evaluating vascular dynamics of the erection mechanism. 9 To our knowledge, a CDUS study of erectile performance following penile fracture repair has not been undertaken.…”

Section: Introductionmentioning

confidence: 98%

“…Preoperative imaging, to delineate a ruptured tunica albuginea, include (MRI) 4 and cavernosography, with a low but signi®cant risk of a false negative ®nding described with the latter. 5 A report of retrospective evaluation of patients managed conservatively have suggested a high rate of impotence. 6 Immediate surgical exploration of the penis with repair of the ruptured albuginea is therefore regarded as the ideal treatment.…”

Section: Introductionmentioning

confidence: 99%

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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: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

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

2000

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“…10 Due to faster recovery, shorter hospitalization and perfect long-term outcomes, surgical repair has become the first choice of treatment. 11,12 However, complications such as penile curvature, nodule formation in the repair region and penile numbness have been also reported. 11,12 Various factors including genetic predisposition, trauma and tissue ischemia have a role in the pathogenesis of the Peyronie's disease (PD).…”

Section: Introductionmentioning

confidence: 99%

“…11,12 However, complications such as penile curvature, nodule formation in the repair region and penile numbness have been also reported. 11,12 Various factors including genetic predisposition, trauma and tissue ischemia have a role in the pathogenesis of the Peyronie's disease (PD). It is widely recognized that micro-traumas leading to the bleeding within the tunica albuginea, the accumulation of fibrin and the migration of inflammatory cells into the injured area, induce upregulation of cytokine and growth factors and excess increase in the matrix protein which in combination result in the development of a plaque.…”

Section: Introductionmentioning

confidence: 99%

Relationship between penile fracture and Peyronie's disease: a prospective study

Açıkgöz

Gökçe²,

Aşçı

et al. 2011

Int J Impot Res

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Peyronie's disease is postulated to be initiated by repetitive minor traumas to the fully or partially erect penis. We investigated Peyronie's disease prospectively in cases treated for penile fracture (PF) within the last 20 years. Medical records of 63 cases treated for PFs were reviewed. Subjects were required to self-assess their current penile morphologies and sexual functions. Penile nodules and Peyronie's plaques were also evaluated with physical examination, ultrasonography and magnetic resonance imaging (MRI), and penile curvatures with auto-photography, and sexual function with international erectile function index (IIEF). Of the 63 cases (mean age 37 years), 46 who had mean follow-up of 63 months were re-evaluated. The mean IIEF-5 score was 23.2±3.1. Painful erections (n ¼ 5), penile nodules (n ¼ 5) and also penile curvatures o201 (n ¼ 2) were investigated. No Peyronie's plaque was palpated in any of the cases. Ultrasound and MRI showed fibrotic nodules of 5 mm in diameter, which extended into the subtunical area in the rupture site in 54% of the cases, although any thickening and Peyronie's plaque were not found in the tunica albuginea and intracavernosal septum of the cases examined. In PF patients treated surgically, the erectile function and penile morphology were preserved. In our cases PFs did not induce the development of Peyronie's disease.

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Superficial Dorsal Vein Injury/Thrombosis Presenting as False Penile Fracture Requiring Dorsal Venous Ligation

et al. 2014

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IntroductionConditions mimicking penile fracture are extremely rare and have been seldom described.AimTo describe a patient with false penile fracture who presented with superficial dorsal vein injury/thrombosis managed with ligation.MethodsA 33-year-old male presented with penile swelling and ecchymosis after intercourse. A penile ultrasound demonstrated a thrombosed superficial dorsal vein but also questionable fracture of the tunica albuginea. As the thrombus was expanding, he was emergently taken to the operating room for exploration and required only dorsal venous ligation.ResultsPostoperatively, patient's Sexual Health Inventory for Men score was 23, and he had no issues with erections or sexual intercourse.ConclusionEarly exploration of patients with suspected penile fracture provides excellent results with maintenance of erectile function. Also, in the setting of dorsal vein thrombosis, ligation preserves the integrity of the penile tissues and avoids unnecessary complications from conservative management. Rafiei A, Hakky TS, Martinez D, Parker J, and Carrion R. Superficial dorsal vein injury/thrombosis presenting as false penile fracture requiring dorsal venous ligation.

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Penile fracture: differential diagnosis, management and outcome

Abstract: In the management of the acute penis, cavernosography should be performed first and the treatment policy should be determined from the radiological findings. Conservative therapy should be chosen only when the corporeal bodies are intact.

Cited by 116 publications

References 1 publication

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

Relationship between penile fracture and Peyronie's disease: a prospective study

Superficial Dorsal Vein Injury/Thrombosis Presenting as False Penile Fracture Requiring Dorsal Venous Ligation

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