Pattern of presentation and surgical management of penile fractures in a semi-urban African teaching hospital: Case reports and literature review

Salako, AA; Badmus, Tajudeen A.; David, Rotimi A.; Aremu, Abdulfatai; Laoye, Adeyinka; Oyeniyi, Ganiyu A.; Akinbola, I.A.; Igbokwe, Martin; Onyeze, Chigozie; Babalola, Ronke

doi:10.1016/j.afju.2018.01.010

African Journal of Urology

2018

DOI: 10.1016/j.afju.2018.01.010

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Pattern of presentation and surgical management of penile fractures in a semi-urban African teaching hospital: Case reports and literature review

AA Salako

Tajudeen A. Badmus

Rotimi A. David

et al.

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2024

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Cited by 3 publications

References 15 publications

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Penile fracture in a child presenting at teaching hospital in South-Western Uganda: a case report

Atwine,

Mucunguzi,

Ainomugisha

et al. 2024

Afr J Urol

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Introduction and importance Penile fracture refers to the traumatic rupture of tunica albuginea in an erect penis. It is relatively uncommon and represents a urological emergency once it happens, necessitating immediate surgical intervention to prevent long-term complications. This condition presents a surgical challenge in both diagnosis and treatment due to the few urology specialists in our setting. We present a case of penile fracture surgically managed in a resource-limited setting with an excellent outcome. Case presentation We present a 15-year-old male admitted to our teaching hospital with a 12-h history of onset of pain, progressive swelling, and an audible pop sound that preceded turning in bed on an erect penis. He, however, denied a history of masturbation. A penile ultrasound scan was done, which confirmed a tear of Tunica albuginea. Penile exploration was done, which revealed a tear in tunica albuginea that was repaired successfully. The patient recovered well with no complications. Clinical discussion A penile fracture is a rare surgical emergency. Successful outcomes hinge on timely diagnosis, proficient surgical repair, and comprehensive postoperative care. A penile fracture is a clinical diagnosis in the hands of an experienced surgeon. Conclusions Findings of this case report highlight the importance of raising awareness among health workers and the general public about this rare condition, and the treatment options available in our less resourced setting.

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Penile fracture in a child presenting at teaching hospital in South-Western Uganda: a case report

Atwine,

Mucunguzi,

Ainomugisha

et al. 2024

Afr J Urol

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Management of Fractures of the Corpora Cavernosa at the University Clinic of Urology and Andrology at Cnhu-Hkm in Cotonou

Hodonou,

Ngabire,

Yevi

et al. 2023

J. Med. Res.

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Background: Penile fracture is a rare accident whose diagnosis relies on a stereotyped history and a physical examination. Early surgical intervention is recommended. In Africa, as well as in Benin, research on this pathology is limited due to likely underreporting, possibly linked to cultural factors. Objectives: This study aims to examine the epidemiological, clinical, therapeutic, and evolutionary aspects of penile fracture. Methods: It is a retrospective and descriptive study collecting records of patients treated and followed for penile fracture at the Urology Department of CNHU-HKM in Cotonou between January 2010 and March 2021. Results: Over the course of 10 years, 23 cases of penile fracture were identified, representing a frequency of 2.3 cases per year. The average age of patients was 35 years, with a predominance of married individuals (n=17). Coital misstep was the primary circumstance of occurrence (n=15). The cracking sound (n=14), pain (n=23), swelling of the penis (n=16), and detumescence (n=23) were the main clinical signs. The average time to medical intervention was 13 hours. Surgical treatment with a circumferential approach under the coronal ridge was employed for all patients. The average duration of hospitalization was 60 hours. The prevalence of erectile dysfunction was 8.7% (IIEF-5). Conclusion: Penile fracture is a rare traumatic emergency. Diagnosis is facilitated by a stereotyped clinical presentation. Early surgical intervention is the optimal treatment for a favorable functional outcome.

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Penile Fracture in Southern Nigeria

Ogbetere

Otobo

2021

Nigerian Journal of Medicine

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Background: Penile fracture is an uncommon genitourinary emergency due to an abrupt trauma to an erect penis. Urgent exploration and repair of tunica albuginea tear is advocated. This study aimed to assess the etiology, presentation, location of the tear, and management outcome of penile fracture in two tertiary hospitals in southern Nigeria. Patients and Methods: Data were obtained retrospectively from the patients' health records in the two tertiary hospitals from April 2009 to March 2019. Their biodata, mechanism of injury, injury-to-presentation time, clinical features, location of the injury, the treatment offered, duration of hospital admission, and follow-up were studied. Results: Thirteen patients aged 22–54 years (mean 34.0 years) were treated within the 10-year study period. Ten (76.9%) had tertiary education, while 7 (53.8%) were married. Heterosexual intercourse accounted for penile fracture in 12 (92.3%) patients while rolling over an erect penis in bed in 1 (7.7%) case. Male-dominant sex position (n = 9; 69.2%) was the most predominant. In 8 (61.5%) patients, girlfriends/mistresses were involved. Most patients (n = 9; 69.2%) presented within 24 h, while one came after 7 days. All patients presented with penile pain, crackling sound, sudden detumescence, swelling, and penile deformity. The left corpus cavernosum was affected in 9 (69.2%) patients. Three patients (23.1%) had associated urethral injuries. All patients had surgical exploration and repair with minimal complications. Average hospital admission and follow-up duration were 6.7 days and 9.3 months, respectively. Conclusion: Heterosexual intercourse was the predominant cause of penile fracture in our study. Surgical management gave excellent outcomes even in delayed presentation.

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Pattern of presentation and surgical management of penile fractures in a semi-urban African teaching hospital: Case reports and literature review

Cited by 3 publications

References 15 publications

Penile fracture in a child presenting at teaching hospital in South-Western Uganda: a case report

Penile fracture in a child presenting at teaching hospital in South-Western Uganda: a case report

Management of Fractures of the Corpora Cavernosa at the University Clinic of Urology and Andrology at Cnhu-Hkm in Cotonou

Penile Fracture in Southern Nigeria

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