Fracture of the penis

Naraynsingh, Vijay; Raju, G. C.

doi:10.1002/bjs.1800720419

Cited by 60 publications

(35 citation statements)

References 5 publications

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“…The site of the fracture may be manifested by focal tenderness or a palpable defect in the tunica albuginea. The 'rolling sign', described by Naraynsingh and Raju [42], consists of a clot directly against the fracture site, palpable as a firm, discrete tender swelling over which the penile skin can be rolled.…”

Section: Penile Fracturementioning

confidence: 99%

Consensus on genitourinary trauma: external genitalia

et al. 2004

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Section: Penile Fracturementioning

confidence: 99%

Consensus on genitourinary trauma: external genitalia

et al. 2004

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“…25 If Buck's fascia is torn, the hematoma may be extensive, spreading to the perineum, scrotum and lower abdominal wall. Very rarely, the defect in the tunica can be palpated.…”

Section: 24mentioning

confidence: 99%

Fractured penis: a review

et al. 2008

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“…Gross penile swelling decreases rapidly, and by 7-12 days, the clot at the fracture site is easily palpable and is often visible. Naraynsingh and Raju [15], described the ''rolling sign'' for early identifi cation of the fracture site, even when the penis is quite swollen. We report our series of patients with delayed presentation of fracture penis and managed with surgical repair.…”

Section: Introductionmentioning

confidence: 99%

Long Term Outcome of Patients with Penile Fracture Undergoing Delayed Repair

Rajendra¹,

Vikas²,

Amit³

et al. 2017

Open J Trauma

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Introduction: Fracture of the penis is a rare urological emergency which occurs as a result of abrupt trauma to an erect penis. Immediate surgical repair is the standard of care and is superior to nonoperative management due to excellent long term outcomes. A large percentage of the patients present late for treatment out of fear or embarrassment. We report our series of patients who presented late and underwent delayed repair. We also report the long term outcome in these patients. Materials & Methods:The data was retrospectively collected from hospital records, which included: detailed history, symptoms, type of relationship, mechanism of trauma, sexual position, clinical fi ndings at physical examination, imaging results, presence of urethral injury, outcomes, and long-term complications regarding sexual and voiding functions.Results: Twenty two patients presented to our hospital casualty/emergency services following penile fracture and underwent delayed surgical repair. Heterosexual inter-course was the most common cause of fracture (18 patients, 81.81%). The mean time duration between injury and presentation was 48.77±33.56 hours. The mean time duration between presentation and surgical intervention was 4.31±1.37 hours. MRI was done in 6 cases with positive predictive value of 100%. Seventeen (77.27%) patients experienced erections during the post-operative period in the hospital. At the end of 1 year follow-up all the 22 patients had been having sexual intercourse.Conclusions: Our data suggests that, patients with penile fractures undergoing delayed repair have preservation of erectile potency and overall sexual function is maintained.

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Fracture of the penis

Abstract: An experience with six cases of fractured penis is described. A 'rolling sign' accurately identifies clot at the fracture site and facilitates a direct and rapid approach to the torn corpus cavernosum. Early operation hastens recovery and limits deformity.

Cited by 60 publications

References 5 publications

Consensus on genitourinary trauma: external genitalia

Consensus on genitourinary trauma: external genitalia

Fractured penis: a review

Long Term Outcome of Patients with Penile Fracture Undergoing Delayed Repair

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