Case Report: Double penile fracture

Mercado‐Olivares, Felipe; Grandez-Urbina, J. Antonio; Farfan-Daza, Giomar; Pacheco-Sauñe, Juan; Nuñez-Bragayrac, Luciano

doi:10.12688/f1000research.16452.2

Cited by 3 publications

(4 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Penile fracture is an uncommon urological emergency, defined as rupture of the tunica albuginea due to blunt trauma to the erect penis [1] , [2] , [9] . Tunica albuginea is tough structure formed by two laminar that covers the two corpora cavernosum and corpus spongiosum [2] .…”

Section: Discussionmentioning

confidence: 99%

“…Penile fracture can occur during masturbation, during nocturnal erection as an individual rollover his body or sexual intercourse with the latter being the commonest scenario [9] The injury is usually unilateral in 91.2 % and bilateral injury account for only 5–14 % [5] , [10] Bilateral corpora carvenosa injury associated with urethral injury is a rare entity accounting for 9–20 % of all penile fractures [5] , [10] . Our case had partial injury of bilateral corpora cavernosum and the corpus spongiosum with involvement of the enclosed urethra.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Triple penile fracture: A rare case report and review of literature

Ngowi

Bright

Lázaro

et al. 2023

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Triple penile fracture: A rare case report and review of literature

Ngowi

Bright

Lázaro

et al. 2023

International Journal of Surgery Case Reports

View full text Add to dashboard Cite

“…PF is an urgent urological ailment underreported compared to its occurrence. It is underreported due to patients' reluctance to seek medical assistance due to embarrassment, humiliation, or lack of information [ 6 ] [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

“…Imaging may be necessary, especially in individuals with an unusual clinical presentation or experiencing excruciating local discomfort or swelling that makes it impossible to do a complete physical examination of the penis. The diagnosis of PF has been made using a variety of radiologic investigations [ 4 , 7 ].…”

Section: Discussionmentioning

confidence: 99%

Penile Fracture With Urethral Bleeding: A Urological Emergency

Krishnani¹,

Anjankar²,

Kakar³

et al. 2022

Cureus

View full text Add to dashboard Cite

Erection transforms the penis from a safe, flaccid organ to a susceptible one. During an erection, the thick tunica albuginea thins and becomes fracturable. Penile fracture (PF) is a very uncommon ailment produced by a blow to the erect penis. Unphysiological bending of the erect penis during sexual activity or masturbation is the most often reported mechanism of trauma. The penis is made up of three columns of erectile tissue: one ventral corpus spongiosum and two dorsolateral corpora cavernosa, each enclosed by the tunica albuginea. The tunica albuginea is a bilaminar structure composed of collagen and elastin. The outer layer of the tunica determines its strength and thickness. It varies in several locations across the shaft and is thinnest ventrally. It has high tensile strength and can sustain rupture at intra-cavernous pressures of up to 1500 mmHg. The tunica albuginea's thickness decreases from 2 mm to 0.25 mm while the penis is erect, and a trauma-induced rise in intracorporeal pressure during an erection might easily cause rupture. PF with urethral bleeding is a very rare urological emergency. One of the common causes of PF includes vigorous sexual intercourse. Symptoms include a cracking, snapping, or clicking sound followed by an instantaneous detumescence. Additionally, the penis may exhibit acute discomfort, significant ecchymosis, rapid swelling, and noticeable eggplant deformity. This is a case report of a 30-year-old male who presented with a history of penile swelling and ecchymosis during sexual intercourse. There was blood spotted at the urethral meatus. A retrograde urethrogram showed complete disruption at the proximal third of the urethra. The patient was immediately taken for surgery, and extensive exploration was done. There was a significant defect of the tunica albuginea of the corpora cavernosa on the ventral side of the penis. Along with the defect and the PF, there was a sizeable urethral injury as well. The defect of the tunica albuginea of the corpora cavernosa was repaired with a Prolene 2.0 suture (Johnson & Johnson, New Brunswick, New Jersey, United States), and urethral reconstruction was done with Vicryl 3.0 interrupted suture (Johnson & Johnson, New Brunswick, New Jersey, United States) over a 14-Foley catheter. Ultrasonography (USG) can be used to assess patients who have suffered penile injuries as well as to determine the sort of incision that is necessary, saving time by preventing needless waiting. This instance emphasises the value of early diagnosis in cases of unique presentation and early surgical treatment for improved results.

show abstract

Complete urethral injury in the penile fracture: a case report and literature review

Ge¹,

Wang²,

Chen³

et al. 2021

Transl Androl Urol

View full text Add to dashboard Cite

Penile fracture is described as a traumatic rupture of the tunica albuginea caused by blunt injury to the erect penis. It usually occurs as a single rupture of the tunica albuginea in one of two corpora cavernosa; a rupture with urethral injury is an extremely rare condition. Although its diagnosis is usually clinical, ultrasound plays an important role in confirming diagnosis and identifying the site of the injury.Here, we presented a case of penile fracture with complete urethral injury. A 43-year-old male was admitted to the hospital because of trauma to the genital and dysuria following sexual intercourse. After admission, the patient was diagnosed with double penile fracture and complete urethral injury after the physical and B-ultrasound examinations. Emergency surgery to remove the hematoma and repair the urethra was performed. The patient recovered smoothly and was discharged on the third day after operation. After two months' follow-up, the patient urinated smoothly and achieved an adequate erection without other complications. In this case, consistent with previous studies, emergency surgery for penile fracture is necessary and can preserve the urethral function and sexual function. In addition, there are two lesions in tunica albuginea in this case, so careful search for the penile shaft during the surgery is important to avoid the missed injuries. This report provides evidence of an uncommon and underreported clinical case.

show abstract

Case Report: Double penile fracture

Cited by 3 publications

References 13 publications

Triple penile fracture: A rare case report and review of literature

Triple penile fracture: A rare case report and review of literature

Penile Fracture With Urethral Bleeding: A Urological Emergency

Complete urethral injury in the penile fracture: a case report and literature review

Contact Info

Product

Resources

About