Occult penile fracture: An atypical presentation

Abstract

Penile fracture is a urological emergency. Most cases are under reported due to social stigma. It is caused by rupture of the tunica -albuginea of corpora cavernosa. Here we present an atypical case of penile fracture, with normal physical examination findings. But characteristic history and ultrasonography, led us to penile exploration and timely repair. Delay in diagnosis and treatment could have led to complications. Objective of our case report is to raise suspicion of fracture penis in patients with typical history, even without physical findings with normal appearing penis. This helps in early repair and prevent complications.

Penile fracture revealed by acute painless swollen scrotum: Case report

“…PF occurs only during erection and in the literature, trauma during sexual intercourse is more incriminated than masturbation. 1 Delay in presentation is mainly due to fear and embarrassment 3 ; in our case it was due to the distance from the hospital and the limited technical facilities. PFs are commonly diagnosed by their stereotypical clinical presentation.…”

“… 2 In case of doubt, as in our presentation, a true penile fracture should be ruled out with ultrasound, as it provides a fast noninvasive alternative to MRI and cavernography. 3 , 4 Normal micturition and the absence of haematuria lead to the conclusion that there was no urethral involvement. Usually, retrograde urethrography is performed when urethral injury is suspected.…”

“…We used an overjet of 4/0 vicryl, but ideally reverse sutures with 3/0 vicryl are recommended. 1 , 3 …”

“… 2 PF with normal physical findings or with swollen scrotum (SS) associated with significant pain are rare and were reported. 3 , 1 Here we report our first PF case managed at a rural hospital of West Cameroon region. This was an in solite case of PF without deformation in eggplant nor pain but SS as the principal complaint.…”

Fracture of the penis by Taghaandan's manoeuvre: About a case and literature review

“…The patient with a penile fracture is anxious due to guilt or social stigma. The diagnosis of this pathology is clinical (1,4,6,7,8). Our patient presented all the symptoms of a penile fracture without voiding problems or urethrorrhagia.…”