Abstract
Penile fracture is a trauma accompanied by sudden pain, swelling, loss of erection, deviation, and ecchymosis along with a breaking sound in the penis. It can be accompanied by urethral injuries in 11-22% of patients, occurring due to force/blunt trauma to the erect penis. In this case report, we present two cases of penile fracture with accompanying urethral injury, occurring approximately one month apart. In our first case, surgical repair was performed approximately 1 hour after the incident, and in the second case, it was performed approximately 2 hours after the incident. Ultrasound (USG) was used as radiological imaging in both cases. In the second case, suspicion of urethral injury was mentioned in the USG. In both cases, a subcoronal circumferential incision was made, and the penile skin was degloved up to the radix. Damaged areas in the intraoperative tunica albuginea and urethra were observed in both cases. Postoperatively, the penile bandage of the first case was removed on the 4th day, and that of the second case was removed on the 6th day. The catheter was removed on the 20th day in both cases. In both cases, no loss of erection or penile deviation was observed at the 3-month postoperative follow-up. No clinical or uroflowmetric findings compatible with urethral stenosis were found in the 2nd and 3rd months post-op. The current approach to penile fractures is emergency surgical decompression and repair.
Keywords
References
- Amer T , Wilson R , Chlosta P , AlBuheissi S , Qazia H , Fraser M , et al. Penile Fracture: A Meta-Analysis. Urol Int, 2016. 96: 315.
- Mydlo JH. Surgeon experience with penile fracture. J Urol 2001;166:526-8. 2
- Koga S, Saito Y, Arakaki Y, Nakamura N, Matsuoka M, Saita H, et al. Sonography in fracture of the penis. Br J Urol 1993;72:228-9 3
- Fetter R, Gartman E. Traumatic rupture of penis. Case report. Am J Surg 1936;32:371-2.
- Jack GS, Garraway I, Reznichek R, Rajfer J: Current treatment options for penile fractures. Rev Urol 2004;6:114-120
- Ateyah A, Mostafa T, Nasser TA, Shaeer O, Hadi AA, Al-Gabbar MA: : Penile fracture: surgical repair and late effects on erectile function. J Sex Med 2008;5:1496-1502
- Haas C A, BrownS L, Spirnak J P: Penile fracture and testicular rupture. World J Urol, 1999. 17: 101
Abstract
References
- Amer T , Wilson R , Chlosta P , AlBuheissi S , Qazia H , Fraser M , et al. Penile Fracture: A Meta-Analysis. Urol Int, 2016. 96: 315.
- Mydlo JH. Surgeon experience with penile fracture. J Urol 2001;166:526-8. 2
- Koga S, Saito Y, Arakaki Y, Nakamura N, Matsuoka M, Saita H, et al. Sonography in fracture of the penis. Br J Urol 1993;72:228-9 3
- Fetter R, Gartman E. Traumatic rupture of penis. Case report. Am J Surg 1936;32:371-2.
- Jack GS, Garraway I, Reznichek R, Rajfer J: Current treatment options for penile fractures. Rev Urol 2004;6:114-120
- Ateyah A, Mostafa T, Nasser TA, Shaeer O, Hadi AA, Al-Gabbar MA: : Penile fracture: surgical repair and late effects on erectile function. J Sex Med 2008;5:1496-1502
- Haas C A, BrownS L, Spirnak J P: Penile fracture and testicular rupture. World J Urol, 1999. 17: 101
Details
| Primary Language | English |
|---|---|
| Subjects | Urology |
| Journal Section | Case reports |
| Authors | |
| Publication Date | August 31, 2024 |
| Submission Date | June 26, 2024 |
| Acceptance Date | July 5, 2024 |
| Published in Issue | Year 2024 Volume: 10 Issue: 3 |
e-ISSN 2149-7796