Penile fracture with isolated corpus spongiosum injury

Cerone, Jeffrey; Agarwal, Piyush K.; McAchran, Sarah E.; Seftel, Allen D.

doi:10.1038/sj.ijir.3901389

Cited by 10 publications

(9 citation statements)

References 12 publications

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“…However, there are no published, systematically collected data regarding mild penile coital trauma. Available data include case reports or series of patients with severe injuries, such as penile fractures 7–12 , urethral disruptions 13 , and fistulas 13 . Many men sustain milder trauma that does not require surgery or a physician visit.…”

Section: Introductionmentioning

confidence: 99%

Circumcision and Reduced Risk of Self-Reported Penile Coital Injuries: Results From a Randomized Controlled Trial in Kisumu, Kenya

et al. 2010

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Purpose Injuries to the penis during intercourse represent one hypothesized mechanism by which uncircumcised men are at increased risk for HIV. There are no published, systematically collected data regarding mild penile coital trauma. We identified risks for self-reported penile coital injuries in men aged 18–24 in our randomized trial of circumcision to prevent HIV in Kisumu, Kenya. Materials and Methods Each participant underwent standardized interview, medical history, and physical examination, at baseline and 6, 12, 18, and 24 months after enrollment. Self-reported penile coital injuries were assessed at each visit: penis feels sore during sex; penis gets scratches, cuts or abrasions during sex; skin of the penis bleeds after sex. Generalized estimating equation analysis estimated odds ratios (OR) for penile coital injuries. Results February 2002–September 2005, 2,784 participants were randomized. At baseline, 1,775 (64.4%) men reported any coital injury: 1,313 (47.6%) soreness; 1,328 (48.2%) scratches, abrasions, or cuts; 461 (16.7%) bleeding. In multivariable analysis, coital injury risk was lower for circumcised than uncircumcised men: soreness [OR=0.71, 95% CI 0.64–0.80], scratches/abrasions/cuts [OR=0.52, 95% CI 0.46–0.59], bleeding [OR=0.62, 95% CI 0.51–0.75], any coital injury [OR=0.61, 95% CI 0.54–0.68]. Other significant risks (p<0.05) included: increasing age, multiple recent sex partners, HSV-2 seropositivity, and genital ulcers. Condom use, cleaning the penis soon after intercourse, and being married/cohabiting were protective (p<0.05, each). Conclusions Self-reported penile coital injuries were common in these healthy young men. Circumcised men were at lower risk for coital injuries. Verifying penile coital injuries, mechanism of acquisition, and association with HIV risk is needed.

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Section: Introductionmentioning

confidence: 99%

Circumcision and Reduced Risk of Self-Reported Penile Coital Injuries: Results From a Randomized Controlled Trial in Kisumu, Kenya

et al. 2010

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“…Among these imaging techniques, Doppler ultrasound is the first-line examination due to its safety, availability and low cost. However, it is highly operator dependent [6]…”

Section: Discussionmentioning

confidence: 99%

“…Doppler ultrasound allows good characterization of the lesion [5] [6], guide treatment and monitoring of possible complications. We report a case of isolated rupture of corpus spongiosum as a result of penile injury during sexual intercourse.…”

Section: Introductionmentioning

confidence: 99%

Isolated Rupture of Corpus Spongiosum Associated a Partial Rupture of the Urethra during a False Step of the Coitus: A Case Reported at the University Hospital Sanou Souro

Nikièma¹,

Paré²,

Yameogo³

et al. 2017

OJRad

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Penile fracture is a rare urological emergency. It occurs mainly in young adults during sexual intercourse. In many instances, one of the corpora carvanosus is involved though bilateral injuries with or without corpus spongiosus involvement is not uncommon. However, isolated injury to corpus spongiosus is extremely rare. We report a case of isolated rupture of corpus spongiosum secondary to penile injury during coitus in a 43-year-old man that presented to University Hospital Souro Sanou of Bobo Dioulasso. He presented with history of persistence bleeding per urethra following penile injury during sexual intercourse. The Retrograde urethrography (RUG) showed a partial rupture of urethra, Moore type 3. Complementary penile ultrasound revealed extensive contusion of the urethra with circumferential hematoma and rupture of the distal 1/3 of the corpus spongiosus. He had gentle per urethral catheterization which was left for one month. Penile ultrasound sound done after removal of catheter showed residual injury and narrowing of the urethra.

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“…It is classically characterised by the traumatic rupture of the tunica albuginea of corpus cavernosum. 1,2 It occurs secondary to blunt or sexual trauma to the erect penis during sexual intercourse or aggressive masturbation. 2 Occasionally, penile fracture can be complicated by the involvement of the urethra or corpus spongiosum.…”

Section: Introductionmentioning

confidence: 99%

Isolated rupture of corpus spongiosum without urethral or cavernosal injury: A rare case of penile fracture

Ranasinghe

Nouhaud

Williams

et al. 2018

Journal of Clinical Urology

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Penile fracture with isolated corpus spongiosum injury

Cited by 10 publications

References 12 publications

Circumcision and Reduced Risk of Self-Reported Penile Coital Injuries: Results From a Randomized Controlled Trial in Kisumu, Kenya

Circumcision and Reduced Risk of Self-Reported Penile Coital Injuries: Results From a Randomized Controlled Trial in Kisumu, Kenya

Isolated Rupture of Corpus Spongiosum Associated a Partial Rupture of the Urethra during a False Step of the Coitus: A Case Reported at the University Hospital Sanou Souro

Isolated rupture of corpus spongiosum without urethral or cavernosal injury: A rare case of penile fracture

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