Penile Fracture: Delayed Presentation, Primary Urethral Repair and Satisfactory Outcome

Yunusa, Bashir; Wullie, Kalamon; Willie, Soeghen E; Konneh, Solomane; Sherriff, Swaliho; Cassell, Ayun; Ikpi, Edit

doi:10.1155/2019/1456914

Cited by 3 publications

(1 citation statement)

References 19 publications

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“…Ahmed et al indicated most patients (91.6%) achieved an adequate erection after immediate surgery except two cases who felt mild erectile dysfunction (10). Even in the delayed presentation, delayed surgery also showed the satisfactory outcome (11,12). For the penile fracture with urethral injury, bilateral corporal rupture should also be investigated when doing the surgery repair (13,14).…”

Section: Discussionmentioning

confidence: 99%

Complete urethral injury in the penile fracture: a case report and literature review

Ge¹,

Wang²,

Chen³

et al. 2021

Transl Androl Urol

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Penile fracture is described as a traumatic rupture of the tunica albuginea caused by blunt injury to the erect penis. It usually occurs as a single rupture of the tunica albuginea in one of two corpora cavernosa; a rupture with urethral injury is an extremely rare condition. Although its diagnosis is usually clinical, ultrasound plays an important role in confirming diagnosis and identifying the site of the injury.Here, we presented a case of penile fracture with complete urethral injury. A 43-year-old male was admitted to the hospital because of trauma to the genital and dysuria following sexual intercourse. After admission, the patient was diagnosed with double penile fracture and complete urethral injury after the physical and B-ultrasound examinations. Emergency surgery to remove the hematoma and repair the urethra was performed. The patient recovered smoothly and was discharged on the third day after operation. After two months' follow-up, the patient urinated smoothly and achieved an adequate erection without other complications. In this case, consistent with previous studies, emergency surgery for penile fracture is necessary and can preserve the urethral function and sexual function. In addition, there are two lesions in tunica albuginea in this case, so careful search for the penile shaft during the surgery is important to avoid the missed injuries. This report provides evidence of an uncommon and underreported clinical case.

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Section: Discussionmentioning

confidence: 99%

Complete urethral injury in the penile fracture: a case report and literature review

Ge¹,

Wang²,

Chen³

et al. 2021

Transl Androl Urol

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Rupture of the cavernous body diagnosed by contrast-enhanced ultrasound: Presentation of a clinical case

Dell’Atti

Scarcella

Argalia

et al. 2018

Arch Ital Urol Androl

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Penile trauma represents a urological emergency characterized by the breaking of the albuginea tunic. A fast diagnosis and early surgical repair are the best treatments to avoid post-operative sequelae such as curvatures or deformities of the penis. An ultrasound evaluation may not be able to identify the injury in the tunica albuginea due to the edematous swelling of the penis and clots within the tear deteriorate the image contrast and can hide the injury. We here report a case study of successful management via surgical treatment for rupture of the cavernous body diagnosed by contrast-enhanced ultrasound in a young patient with penile trauma.

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Severe Coital Accident: A Rare Case of Simultaneous Fracture of the Penis and a Complete Urethral Rupture at the University Hospital of Bouake

Avion,

Akassimadou,

Ouattara

et al. 2023

OJU

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Cavernous body fracture is a rare urological emergency. Its association with complete rupture of the urethra remains exceptional. This is a report of simultaneous penile fracture and complete rupture of the urethra following a misstep in coitus. It is about a 41-year-old young adult, admitted to the surgical emergency department of the University Hospital of Bouaké on March 2, 2020 for penile pain associated with acute retention of urine. The clinical examination confirmed the diagnosis of a corpus cavernosa fracture associated with a ruptured urethra. The patient underwent cystostomy, right cavernoraphy and urethrorrhaphy. The postoperative follow-up was straightforward and the patient was discharged from the hospital on D3 postoperatively. The urethral catheter was removed on D21 postoperatively. With a follow-up of 1 year, the patient presents a good erection and does not report any voiding disorder.

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Penile Fracture: Delayed Presentation, Primary Urethral Repair and Satisfactory Outcome

Cited by 3 publications

References 19 publications

Complete urethral injury in the penile fracture: a case report and literature review

Complete urethral injury in the penile fracture: a case report and literature review

Rupture of the cavernous body diagnosed by contrast-enhanced ultrasound: Presentation of a clinical case

Severe Coital Accident: A Rare Case of Simultaneous Fracture of the Penis and a Complete Urethral Rupture at the University Hospital of Bouake

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