Penile Fracture: Experience from a Third World Country

Background Penile curvature in men with Peyronie’s disease (PD)—caused by tunica anchoring plaques with loss of focal fiber elasticity—theoretically increases the risk of penile fracture during sexual activity. Penile fracture is the result of tearing of the tunica albuginea of one or both corpora cavernosa, usually during sexual intercourse, and is among the most serious urological emergencies. Generally, a patient presented to a surgical emergency within 48 h of injury can be handled successfully with minimum complications. Immediate surgical treatment is the current standard of care and has a relatively low risk of late complications. Case presentation We present a case of penile fracture in a male with a history of PD referred to the emergency department with severe pain. Clinical history assessment and physical examination revealed a penile fracture with underlying PD. He underwent emergency surgical exploration via subcoronal incision. Penile plication was not necessary for our case because the angulation of the penis was less than 15° after examination of artificial erection. Conclusion Penile fracture in a patient with underlying PD is a rare urological emergency that should be treated surgically with fracture repair as early as possible. Penile plication might be necessary in severe cases (angulation > 60°).

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“…Penile fracture is the tearing of the tunica albuginea from the corpus cavernosa [8]. The tunica albuginea is among the toughest of body fascias.…”

Section: Discussionmentioning

confidence: 99%

Penile fracture in a Peyronie’s disease patient: a case report

et al. 2020

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“…[7] Injury at the time of coitus is regarded as the most common predisposing factor for penile fracture. [6]…”

Section: Discussionmentioning

confidence: 99%

“…[5] Literature from India showed that vaginal intercourse is the most common cause of penile fracture. [6] We in the tertiary care hospital in North East part of India observed penile manipulation as the most common etiology of penile fracture.…”

Section: Introductionmentioning

confidence: 99%

Penile manipulation: The most common etiology of penile fracture at our tertiary care center

Faridi

Mibang

et al. 2016

J Family Med Prim Care

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Penile fracture is the disruption of the tunica albuginea with rupture of the corpus cavernosum secondary to blunt trauma to the erect penis. It is an unusual condition, usually underreported. According to the published literature, vigorous vaginal intercourse with women on top position is the most common etiology across the globe including India with Middle Eastern countries being the exception. A total of seven patients of penile fracture presented in emergency in the last 6 months. The etiology was penile manipulation at the time of sexual excitement in six out of seven patients of penile fracture, which was contrary to the literature published except in Middle Eastern countries. All the patients were managed by emergency exploration and repair. Thus, the incidence and etiologies of penile fracture vary according to geographic region, sexual behavior, marital status, and culture.

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“…Penile fracture is a urological emergency [1]. Penile fracture is defined as a traumatic rupture of the tunica albuginea of the corpora cavernosa with or without the corpus spongiosum, secondary to blunt trauma of an erect penis, a resultant corporal defect caused by trauma to the erect penis [2] [3]. Estimated incidence of penile fracture is about 500 -660 cases per year in the USA [4].…”

Section: Introductionmentioning

confidence: 99%

Penile Fracture at the Department of Urology and Andrology, University Hospital, Brazzaville

Odzébé¹,

Mouss²,

Opara³

et al. 2019

OJU

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Objective: The objectives of this study, was to analyze epidemiological diagnosis, therapeutic option and evolutionary aspects. Materials and methods: This is a retrospective study regarding clinical data of nine penile fracture patients who have been admitted in the department of urology (university hospital, Brazzaville) from January 2006 to December 2018. The study parameters were: epidemiological, diagnosis, operative details, outcomes after treatment, and sexual disorders. Results: The mean age was 46.3 ± 14 years, ranged from 25 to 73 years. The etiology of penile fracture was coitus in 5 cases, masturbation in 3 cases and rolling of the penis on the bed in one case. 8 patients were managed surgically. The complications noticed in the postoperative period and during the follow-up visits were penile curvature in 2 cases, and erectyl dysfunction in 2 cases. Conclusion: The diagnosis of penile fracture remains clinic. Immediate surgical management is necessary for good functional result.

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Penile Fracture: Experience from a Third World Country

Cited by 12 publications

References 16 publications

Penile fracture in a Peyronie’s disease patient: a case report

Penile fracture in a Peyronie’s disease patient: a case report

Penile manipulation: The most common etiology of penile fracture at our tertiary care center

Penile Fracture at the Department of Urology and Andrology, University Hospital, Brazzaville

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