Penile fracture

Shimpi, R.K.; Patel, Pranay J; Bhondave, Suraj T

doi:10.4103/ua.ua_27_20

Cited by 5 publications

(1 citation statement)

References 16 publications

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“…7 83.3% maintained normal erectile function after fracture repair surgery, and 16.7% reported severe impairments of erectile function which is greater than the 1.9% to 11% reported in the literature when performing an early surgical intervention as it was in our patients. 1,4,8 56% of patients reported having a deviation of the body of the penis, likewise, 16.7% noticed a shortening of the penis in erection. This was higher than the 2.7-4% reported with surgical management and 13-16% with conservative treatment.…”

Section: Discussionmentioning

confidence: 97%

Penile fracture in the general hospital of Mexico: prevalence and case series

Martinez-Valeriano,

Chacon-Andrade,

Rivera-Astorga

et al. 2023

Int J Res Med Sci

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Penile fracture is a rare urological emergency and a condition rarely reported in the literature. This lesion is produced by a break in the continuity of the tunica albuginea of corpora cavernosa, due to trauma to the erect penis. When the fracture occurs, patients may report a popping sound followed by severe pain, bruising, ecchymosis, and deformity. Diagnosis is based primarily on clinical history and examination; in some cases, ultrasound may be useful to confirm the diagnosis. It is a urological emergency that requires adequate and prompt attention in order to prevent serious sexual complications. Below, we present a series of 18 cases of penile fracture that were treated at the General Hospital of Mexico, with emphasis on sexual function after surgical repair.

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Section: Discussionmentioning

confidence: 97%

Penile fracture in the general hospital of Mexico: prevalence and case series

Martinez-Valeriano,

Chacon-Andrade,

Rivera-Astorga

et al. 2023

Int J Res Med Sci

View full text Add to dashboard Cite

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Management of penile fracture with complete urethral transection in a resource‐limited setting: A case report

Médéus,

Saint Hubert,

Sinha

et al. 2024

Clinical Case Reports

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Key Clinical MessagePenile fracture is a urological emergency that requires prompt surgical intervention for optimal outcomes. Early diagnosis based on clinical presentation and imaging if needed is crucial. Timely repair ensures the preservation of penile function and minimizes complications.AbstractPenile fracture (PF) is a rare but significant urological emergency characterized by the rupture of the tunica albuginea, often resulting from blunt trauma during sexual intercourse or other activities. The typical presentation includes sudden and severe penile pain, an audible “cracking” sound followed by swelling and deformity. While PF generally does not involve the urethra, bleeding from the urethral meatus suggests an associated urethral lesion. Imaging such as ultrasonography or magnetic resonance imaging (MRI) can assess the extent of the injury. We report a case of a 28‐year‐old male who presented with sudden‐onset penile pain, swelling, and blood dripping from the urethral meatus after a traumatic sexual encounter. The injury occurred during vigorous intercourse when his erect penis struck his partner's buttocks. He heard a cracking sound followed by immediate detumescence, penile curvature, and urethral bleeding. At the hospital, the patient exhibited tachycardia and elevated blood pressure. Examination revealed deviation of the penis to the right, urethrorrhagia, and a tender, swollen penis. A clinical diagnosis of bilateral corpora cavernosa injury and partial rupture of the penile urethra was made. A urethral catheter was placed with difficulty, draining initially reddish urine followed by clear urine. Laboratory tests showed normal hemoglobin and coagulation profiles with mild bacteriuria and hematuria. Due to clear clinical signs, no radiological imaging was performed before surgery. Surgical exploration performed 48 h postinjury revealed a PF involving the right corpus cavernosum and a complete rupture of the spongy urethra. The corpus cavernosum was repaired using Vicryl 2–0 sutures followed by urethroplasty with Vicryl 5–0. Postoperative care included antibiotics and analgesics. The patient had an uneventful recovery with preserved penile sensitivity and function. PF is a rare urological emergency that necessitates prompt diagnosis and management to prevent long‐term complications. Although clinical presentation often suffices for diagnosis, imaging can be valuable in ambiguous cases. Surgical intervention is the preferred treatment, offering the best functional and cosmetic outcomes. This case underscores the importance of timely surgical repair to ensure favorable recovery and preservation of penile function.

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