Penile fracture (PF) is defined as the rupture of the tunica albuginea (TA) of the corpora cavernosa (CC) caused by trauma to the erect penis. We present a case and clinical evolution of the delayed approach of PF. Physical examination showed a ventral rounded mass in the middle surface of the penile shaft, associated with mild discoloration and edema. Surgery was performed with a vertical penoscrotal incision. We found an encapsulated hematoma on the right ventral mid penile shaft connected at its base to an approximate 1 cm transverse defect on the TA and we performed debridement and excision of the hematoma. Tunical defect was repaired with PDS 3/0 simple suture. The patient had a great postoperative evolution without local complications. The early diagnosis and surgical treatment reaches better functional results, with maintenance of erectile function in patients with penile fracture.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10471818 | PMC |
http://dx.doi.org/10.4103/UA.UA_103_20 | DOI Listing |
Fr J Urol
November 2024
Department of Urology and Renal Transplantation, Assistance publique-Hôpitaux de Marseille, Hôpital de la Conception, Aix-Marseille Université, Marseille, France.
Int Urol Nephrol
November 2024
Urology Department, LA RABTA Hospital, University of Tunis El Manar, BAB SAADOUN, 1006, Tunis, Tunisia.
Introduction: This case highlights a rare occurrence of combined penile fracture and urethral injury in a 35-year-old male, emphasizing the critical need for accurate diagnosis and precise surgical intervention in such cases.
Case Presentation: After a mishap during sexual intercourse, the patient faced intense penile pain, swelling, and urethrorrhagia. Advanced diagnostic methods, particularly MRI, confirmed a disruption in the tunica albuginea within the left corpora cavernosa.
Clin Case Rep
October 2024
Surgical Research and Global Education Lab (SURGE Lab) Port-au-Prince Haiti.
Key Clinical Message: Penile fracture is a urological emergency that requires prompt surgical intervention for optimal outcomes. Early diagnosis based on clinical presentation and imaging if needed is crucial. Timely repair ensures the preservation of penile function and minimizes complications.
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December 2024
Radiology Department, Mogadishu Somalia Turkish Training and Research Hospital, Mogadishu, Somalia.
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