Presentation, Management, and Outcomes of Penile Fractures

Abstract

Background: Penile fractures are due to a traumatic rupture of the penile tunica albuginea of the corpus cavernosum and may result from numerous etiologies. The purpose of our review is to describe the etiology, management, and outcomes of penile fractures. Methods: A literature review was performed. Results: The diagnosis of penile fractures is usually made clinically but can also be made with the assistance of ultrasound or MRI (magnetic resonance imaging) imaging when unclear. Cystoscopy should be performed when urethral involvement is suspected. Surgical management should be initiated promptly after the diagnosis, and within 24 hours of presentation. Surgical management can include the subcoronal or penoscrotal approach, although the penoscrotal approach is preferred when imaging confirms the location of the injury to be ventral and proximal, due to the reduced morbidity of this technique. Complications following penile fractures include erectile dysfunction, penile curvature, and voiding symptoms, but the incidence of complications is reduced if surgical intervention is performed promptly after fracture presentation. A rare cause of penile fractures is collagenase clostridium histolyticum injection, and these cases should predominantly be managed conservatively. Conclusions: Penile fractures can present in various ways and must be managed surgically and promptly after the diagnosis is made.

Use of magnetic resonance imaging to guide direct repair of penile fractures---a change to the operative paradigm

“…Alternative surgical approaches include penoscrotal and infrapubic incisions [2,8,17]. Complications associated with degloving approaches include hematoma formation, decreased sensation, infection, post-operative oedema, and skin necrosis [1,18]. Concurrent circumcisions are often performed to reduce the risks of postoperative phimosis, paraphimosis and avascular necrosis [18].…”

“…Complications associated with degloving approaches include hematoma formation, decreased sensation, infection, post-operative oedema, and skin necrosis [1,18]. Concurrent circumcisions are often performed to reduce the risks of postoperative phimosis, paraphimosis and avascular necrosis [18]. However, adult circumcisions have been associated with decreased sexual pleasure, lower orgasm intensity, discomfort or pain, and unusual sensations at the penile shaft [19].…”

Echinacoside alleviates airway remodeling and inflammation in an ovalbumin-induced neonatal mouse model of asthma by modulating the SIRT1–NF-κB pathway

“…Airway remodeling, a key feature of persistent asthma, is characterized by abundant extracellular matrix deposition, including collagen. 22 The expression levels of collagen I, collagen III, and αSMA after OVA induction were detected by WB. The results showed that, compared with the control group, OVA induced an increase in collagen I, collagen III, and αSMA but reduced the expression of E-cadherin.…”

Isolated Penile Fracture and Complete Urethral Injury After a Motorcycle Accident: A Case Report and Literature Review

“…Penile fracture (PF) is defined as the traumatic tearing of the tunica albuginea of the tumescent penis, resulting in the rupture of one or both of the corpora cavernosa [ 1 ]. PF mainly occurs when unphysiological bending forces are applied to an erect penis during sexual intercourse or due to aggressive penile manipulation.…”