Fracture of the penis: Nine cases with evaluation of reported cases in Japan

Abstract

Background : Fracture of the penis is a relatively rare condition that is defined as a rupture of the tumescent corpora cavernosa as a result of blunt trauma, most commonly during sexual intercourse or masturbation. The fracture is easy to recognize but treatment remains controversial. We, therefore, examined the treatment methods for penile fracture. Methods : Between December 1990 and March 2001, eight patients underwent immediate surgical repair on the first or second day after fracture of the penis, and one patient underwent surgery on the 30th day after fracture, at Kansai Rosai Hospital. Patient age at presentation ranged from 15 to 55 years. Eight patients came to the hospital 2-23 h after the fracture occurred. All patients complained of penile swelling and ecchymosis. Three patients reported hearing a snapping sound. None of the patients demonstrated macroscopic hematuria.Results : We treated all of the patients surgically. All patients showed a unilateral injured corporeal rupture. We took a circumferential coronal incision under the glans and repaired with absorbable stitch. At follow-up, eight of the nine patients who were available reported the achievement of an adequate erection for intercourse without erectile or voiding dysfunction. Conclusion : All patients were treated surgically and recovered successfully. Therefore, immediate repair is recommended for the treatment of penile fracture.

Histopathological effects of fibrin glue on penile fracture in a rat model

“…Injury to the tunica albuginea should be repaired immediately a er diagnosis [17] and immediate surgical repair is the optimal method of management. e aim of immediate repairis to preserve the tunical integrity that is esential for erection and to avoid the complications of conservative management, i.e., penile curvature and deformity, brosis and sexual dysfunction [18].…”

Penile Fracture Cases Admitted to our ED: Review of 5 Cases

“…Tunika albuginea'nın yır-tılması için içindeki basıncın 1500 mmHg'ı geçmesi gerekir. Cinsel ilişki sırasında erekte penisin simfizis pubis veya perineye çarpması, arasında sıkışması veya erekte peniste detümesans oluşturmak için yapılan manipülasyonlar penil fraktür etiyolojisinde rol oynar (1)(2)(3)(4)(5)(6)(7)(8).…”

“…Şüpheli vakalarda kavernozografi, klasik ve/veya renkli doppler ultrasonografi, manyetik rezonans görüntüleme, anjiografi, yine üretral travma şüphesi olan olgularda üretrografi tetkikleri yapılabilir. Penil ultrasonografi ve manyetik rezonans görüntüleme yöntemlerinin tanıda başarıları sınırlıdır (2)(3)(4)(5)(6)(7)(8). Teşhis anamnez ve inspeksiyon ile konulabildiği için eğer aynı zamanda üretra rüptüründen de şüphelenilmiyor ise ek tanı yöntemlerine gerek yoktur (1-10).…”

Fractured penis: a review

“…14 Over the last few years, there has been a move toward early surgical repair. [43][44][45][46][47] Many surgical approaches have been described. A circumferential subcoronal incision with degloving of the penis has been employed to locate the exact site of the tear.…”