Recurrent Penile Fracture—Case Report and Alternative Surgical Approach

Abstract

IntroductionPenile refracture is an exceedingly rare event, with very few published studies. To the best of our knowledge, this is the first documented case in the literature of penile fracture with 3 same-site recurrences.AimsTo describe the case of a 25-year-old Caucasian man with recurrent penile fracture ultimately treated with resuture and patch reinforcement.MethodsPatient history (clinical and surgical) and literature review.ResultsAfter the 3rd same-site recurrence, patch reinforcement over the sutured area was performed. The patient had an uneventful recovery and no recurrences to date.ConclusionThere is no evidence indicating the superiority of non-absorbable sutures. Bovine pericardium reinforcement over the sutured area was used to minimize the chance of another recurrence. More studies are necessary to investigate its safety and efficacy in this scenario.Nascimento B, Guglielmetti GB, Miranda EP, et al. Recurrent Penile Fracture—Case Report and Alternative Surgical Approach. Sex Med 2018;6:263–266.

Recurrent bilateral penile fracture: Case report

“…Nevertheless, the complications are less frequent and more associated with the delay in the surgical treatment. 4 About recurrence of the fracture in short time, there are little mention of cases, most of them between the 90's and early 2000, then reappearing cases after 2011, such as one recurrent fracture case in 5 years and one another in 2015 with less than one year between the events. 1 There are only 14 cases of recurrent penile fracture in literature, according to the team responsible for this article.…”

Penile Fracture: Delayed Presentation, Primary Urethral Repair and Satisfactory Outcome

“…A significant number of cases come with associated urethral injury, ranging from 3% to 38% in different literatures [8, 9]. Before now, we do not know whether delay in presentation or surgical intervention may affect the outcome of repair or risk recurrence [10].…”