Urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruption

Raheem, Ali Abdel; El-Tatawy, Hassan; Eissa, Ahmed; Elbahnasy, Abdelhamid M.; Elbendary, Mohamed

doi:10.4081/aiua.2014.1.15

Cited by 24 publications

(28 citation statements)

References 31 publications

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“…El-Assmy et al used uroflowmetry in patients with urethral injury after surgical treatment of PF and found abnormal urinary flow due to urethral stenosis in only one case ( 20 , 21 ). Raheem et al observed similar results and only one of ten patients had abnormal flow ( 4 ). RGU is recommended when abnormalities are found in the IPSS questionnaire or uroflowmetry to identify possible urethral stricture or other complications.…”

Section: Discussionmentioning

confidence: 65%

“…Some authors recommend suprapubic cystostomy in cases of complete circumferential rupture. They believe that it is safer to place a suprapubic catheter and and recommend keeping it closed for at least 3 days after urethral catheter removal to ensure adequate and normal voiding before its removal ( 4 ).…”

Section: Discussionmentioning

confidence: 99%

“…Blood in the meatus, hematuria and urinary retention may be experienced with urethral injury ( 3 ). Studies have variously reported the usefulness of retrograde urethrocystography (RGU), ultrasound (USG), flexible cystoscopy and magnetic resonance imaging (MRI) in the diagnosis ( 4 - 7 ). PF and urethral injury should be treated by surgery with the goal of preserving sexual potency and regaining normal micturition function ( 8 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

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Urethral injury in penile fracture: a narrative review

et al. 2020

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Objective: To present the evolution and the recent data on the etiology, diagnosis, management and outcomes of penile fracture (PF) with concomitant urethral injury. Materials and Methods: We searched the Pubmed database between 1998 and 2019 using the following key words: "penile fracture", "fracture of penis", "trauma to penis", "rupture of corpora cavernosa", "urethral injury", "urethral rupture" and "urethral reconstruction". Results: The incidence of urethral lesion in patients with PF varies by geographic region and etiology. Blood in the meatus, hematuria and voiding symptoms are highly indicative of urethral rupture. The diagnosis of PF is eminently clinical and complementary exams are not necessary. The treatment consists of urethral reconstruction and the most common complications found are urethral stenosis and urethrocutaneous fi stula. Conclusion: PF is an uncommon urological emergency, particularly in cases with urethral involvement. Urethral injury should be suspected in the presence of suggestive clinical signs, and diagnosis is usually clinical. Urgent urethral reconstruction is mandatory and produces satisfactory results with low levels of complications.

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Section: Discussionmentioning

confidence: 65%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Urethral injury in penile fracture: a narrative review

et al. 2020

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“…[1][2][3][4][5][6][7][8] Sequelae of urethral injuries in the setting of penile fracture can include urethral stricture or pseudodiverticula. 9,10 Evaluation of the urethra can be performed with a variety of techniques including cystoscopy or urethrography. Magnetic resonance imaging, which is occasionally used to confirm penile fractures, can also identify urethral injuries.…”

Section: Resultsmentioning

confidence: 99%

National Patterns of Urethral Evaluation and Risk Factors for Urethral Injury in Patients With Penile Fracture

Pariser

Pearce

Patel

et al. 2015

Urology

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“…Recent literature advocates surgical treatment for penile fracture and/or urethral injury as soon as possible as this appears related to fewer complications and better outcomes. 3,15…”

Section: Discussionmentioning

confidence: 99%

Double penile fracture with complete urethral disruption following anal intercourse: a case report

et al. 2019

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Penile fracture remains a rare, under reported condition. It is defined as blunt trauma resulting in tear of tunica albuginea surrounding the corpus cavernosum during erection. Prompt diagnosis and early surgical repair are essential. Here we report a case of 37 years male with penile fracture involving both corpora cavernosum and complete urethral disruption. A 37-year-old man presented with penile injury during anal intercourse. Physical examination revealed a swollen, ecchymotic penis with dorsal angulation. Penile ultrasound showed tear in bilateral corpora cavernosa at ventral aspect with hematoma. On exploration tear in bilateral corpora with complete penile urethral disruption seen. Repair of corporal tear with end to end anastomotic urethroplasty done. He has normal voiding and sexual function at 4th months of follow up. The diagnosis of this condition is clinical, which is further augmented by high frequency sonography, which can detect exact site of the tear, also allows evaluation of penile vascularity. Evaluation of the urethra with sonography can help identify interruption of the urethral wall. As in our patient, double fracture involving corpora cavesnosa of both sides with complete urethral disruption, is rare entity. Urgent surgery with complete penile degloving is advocated and extreme care is needed not to miss any injury. Fracture of the penis is a rare surgical emergency. The diagnosis is clinical, however high-resolution sonography and colour Doppler are helpful. Early and prompt surgical intervention can restore normal voiding and erectile function to lead a healthy life.

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Urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruption

Cited by 24 publications

References 31 publications

Urethral injury in penile fracture: a narrative review

Urethral injury in penile fracture: a narrative review

National Patterns of Urethral Evaluation and Risk Factors for Urethral Injury in Patients With Penile Fracture

Double penile fracture with complete urethral disruption following anal intercourse: a case report

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