Rupture of the superficial dorsal vein of the penis during coitus

Abstract

42-year-old male admitted to the emergency department with penile swelling and hematoma after a sexual intercourse.  The patient had gone under surgical exploration. There was not any problem in the integrity of tunica albugenia. The superficial dorsal vein which was ruptured was found and ligated. Postoperative sexual function and erection was completely normal.  Rupture of the superficial dorsal vein of the penis occurs rare, but it must be kept in mind in the diagnosis of penile fracture in clinical conditions such as lack of sudden detumescence, painless penile swelling and hematoma. 

Keywords

• dorsal vein rupture
• penil fracture

Koitus sırasında penisin süperfisial dorsal veninin rüptürü

Abstract

42 yaşında erkek hasta ilişki sonrası penil şişlik ve hematom nedeni ile acil servise başvurdu.  Hasta opere edildi. Tunika albüginea bütünlüğü tam idi. Rüptüre süperfisial dorsal ven bulundu ve ligate edildi.  Postoperatif seksüel fonksiyon ve ereksiyon tamamen normal idi.  Penisin süperfisial dorsal ven ruptürü nadir görülür ancak ağrısız şişlik ve hematom olması, ani detümesans olmaması gibi klinik durumlarda penil fraktür ayırıcı tanısında akılda tutulması gerekir. 

Keywords

• Penil dorsal ven rüptürü
• penil
• fraktür

References

1. 1. El Housseiny I. Ibrahiem, Hossam S. El-Tholoth, Tarek Mohsen, Ihab A.Hekal, and Ahmed El-Assmy. Penile fracture: long-term outcome of immediate surgical intervention.; Urology. 2010;75:108–111.
2. 2. Herrero Polo E, Megías Garrigós J, Puertas Ruiz M et al: Penile hematoma caused by deep dorsal vein rupture during intercourse. Arch Esp Urol 2000; 53 : 473-475.
3. 3. Nicely ER, Costabile RA, Moul JW: Rupture of the deep dorsal vein of the penis during sexual intercourse. J Urol 1992; 147 : 150-152.
4. 4. Bar-Yosef Y, Greenstein A, Beri A et al: Dorsal vein injuries observed during penile exploration for suspected penile fracture. J Sex Med 2007; 2:1142-1146.
5. 5. El-Assmy A, El-Tholoth HS, Abou-El-Ghar ME, et al. False penile fracture: Value of different diagnostic approaches and long-term outcome of conservative and surgical management. Urology 2010;75:1353-6.
6. 6. Baran C, Topsakal M, Kavukcu E, et al. Superficial dorsal vein rupture imitating penile fracture. Korean J Urol 2011;52:293-4.
7. 7. Kirkham A. MRI of the penis. Br J Radiol 2012;85:86-93.
8. 8. Koifman L, Cavalcanti A, Manes CH, et al. Penile fractureexperience in 56 cases. Int Braz J Urol 2003;29:35-9.

9. 9. Simsek A, Kurt O, Verim LN, et al. Rupture of superficial dorsal vein of penis. Arch Ital Urol Androl 2011;83:102-4.
10. 10. Punal Pereira A, Perez Fentes D, Touce Caamano V, et al. Rupture of the superficial vein of the penis: Therapeutic options. Arch Esp Urol 2010;63.