Penile fracture with complete urethral rupture and urine extravasation: A case report

Abstract

Penile fracture is a rare traumatic injury of an erect phallus involving mainly the tissues responsible for penile erection, corpora cavernosa, and penile sheath, which occur commonly, but not solely during vigorous sexual intercourse. Here, we present a 34-year-old man who presented with a 5-h history of snapping sound heard during sexual intercourse with subsequent loss of tumescence, swelling of the phallus, and assumption of abnormal contour, scrotal swelling, and lower anterior abdominal swelling. On examination, the patient was in severe painful distress with swelling around the external genitalia and lower abdomen and dorsolateral penile angulation with marked tenderness. The diagnosis of penile fracture was made; intraoperatively, there was a complete rupture of both corpora cavernosa and corpus spongiosum, complete disruption of the urethra, and buck’s fascia tear causing haematoma and urine extravasation into the scrotum and anterior abdominal wall. The patient had haematoma evacuation, corpora repair, and urethroplasty done, did well, and has been on follow-up for 2 years with good erectile and voiding functions.

Mucosal adhesion phenomenon after maxillary sinus floor elevation: A preclinical study

“…infertility, and chronic abdominal and pelvic pain (Chegini, 2008;Liakakos et al, 2001;Makama et al, 2017). Synechiae are generally referred to as "scar tissue."…”

“…Peritoneal adhesion and synechiae formation are common characteristics of abdominal or pelvic surgery (Ha et al, 2016; Lang et al, 2010; Sun et al, 2020). They may trigger complications such as intestinal or small‐bowel obstructions, infertility, and chronic abdominal and pelvic pain (Chegini, 2008; Liakakos et al, 2001; Makama et al, 2017). Synechiae are generally referred to as “scar tissue.” However, biopsies collected from peritoneal adhesions present arterioles, venules, capillaries, and myelinated and nonmyelinated nerve fibers (Herrick et al, 2000; Sulaiman et al, 2000).…”

Surgical and conservative treatment results of penile fracture: single-center experience

“…It can occur due to sexual intercourse, manipulation for relaxing erection (taqaandan maneuver), and aggressive masturbation 3 . When the fracture occurs, sudden loss of erection, pain, swelling, and bruises occur on the penis following the crackling sound 4 .…”