Genital and Lower Urinary Tract Trauma

Acute penile trauma and associated morbidity: 9-year experience at a tertiary care center

“…Involvement of the urethra may worsen the patient's overall prognosis and make management more complex (Derouiche et al, 2008). Reported complications of fracture include penile curvature and shortening, erectile dysfunction, and urethral stricture (Al-Shaiji et al, 2009;Morey & Dugi, 2012). We report our findings in 39 cases of patients with clinical signs consistent with penile fracture presenting over 9 years to a tertiary referral center.…”

“…Though reports of conservative management of vascular injuries as well as penile fractures, consisting of non-steroidal antiinflammatory medication, ice, and penile rest, have been published, literature would suggest that this leads to higher incidence of late-onset morbidity such as Peyronie's disease (AlAssmy et al, 2010;Al-Reshaid et al, 2010;Gamal et al, 2011;Morey & Dugi, 2012;Pavan et al, 2014). Operative management of fracture hastens recovery and may reduce late complications.…”

“…In addition, when clinical scenario suggests fracture, operative management may be wise to prevent further complications (Al-Reshaid et al, 2010;Morey & Dugi, 2012;Kurkar et al, 2014). RUG should be performed only when signs or symptoms are suggestive of urethral injury, such as blood at the meatus or inability to void, and may be performed in the operating room.…”

“…It is underreported, and the true incidence is unknown, although an extensive review by Eke in 2001 reported 1331 cases identified in literature from 1966 to 2001 (Redman & Miedema, 1981;Eke, 2002;Derouiche et al, 2008;Al-Shaiji et al, 2009). Injury is defined as traumatic rupture of the tunica albuginea of one or both of the corpora cavernosa, occurring most often in the young adult (Morey & Dugi, 2012). In the United States, the most common mechanism of injury is buckling of an erect penis against a partner's perineum or pubic symphysis during sexual intercourse (Al-Shaiji et al, 2009;Al-Reshaid et al, 2010;Morey & Dugi, 2012).…”

“…Injury is defined as traumatic rupture of the tunica albuginea of one or both of the corpora cavernosa, occurring most often in the young adult (Morey & Dugi, 2012). In the United States, the most common mechanism of injury is buckling of an erect penis against a partner's perineum or pubic symphysis during sexual intercourse (Al-Shaiji et al, 2009;Al-Reshaid et al, 2010;Morey & Dugi, 2012). In the Middle East, the most commonly reported cause is penile manipulation, known as taqaandan or taghaandan, which involves forcibly and manually deflecting an erect penis downward, upward, or in a lateral direction to achieve detumescence (El-Sherif et al, 1991;Zargooshi, 2000).…”