Penile Fracture Cases Admitted to our ED: Review of 5 Cases

Öz

Penile fracture is caused by rupture of the corpus cavernosum with increased internal pressure due to straining of the erectile penis and/or exposure to an obtuse trauma. Its classical findings are sudden intense pain in the penis following a rupture sound, sudden loss of erection, swelling, ecchymoses and deviation. Diagnosis of penile fracture can be made with a careful history and physical examination. There is no need for additional diagnostic tests for most of the patients. Surgical intervention is accepted as the golden standard for the treatment of penile fracture. In our paper, five cases of penile fracture who were admitted to our emergency department are presented, and the diagnostic and treatment methods are discussed according to the recent literature.

Anahtar Kelimeler

• Penile fracture, urethral rupture, emergency medicine

Acil Servisimize Müracaat Eden “Penil Fraktür” Olguları: Beş Olgunun Sunumu

Öz

Penile fracture is caused by rupture of the corpus cavernosum with increased internal pressure due to straining of the erectile penis and/or exposure to an obtuse trauma. Its classical findings are sudden intense pain in the penis following a rupture sound, sudden loss of erection, swelling, ecchymoses and deviation. Diagnosis of penile fracture can be made with a careful history and physical examination. There is no need for additional diagnostic tests for most of the patients. Surgical intervention is accepted as the golden standard for the treatment of penile fracture. In our paper, five cases of penile fracture who were admitted to our emergency department are presented, and the diagnostic and treatment methods are discussed according to the recent literature

Anahtar Kelimeler

• Penile fracture, urethral rupture, emergency medicine

Kaynakça

1. Michael A. Miller. A Sudden Snapping Sound. West J Emerg Med 2010; 11: 93.
2. N EKE. Fracture of the penis, British Journal of Surgery 2002; 89: 555-65. [CrossRef]
3. El Atat R, Sfaxi M, Benslama MR, Amine D, Ayed M, Mouelli SB, et al. J Trauma, 2008; 64: 121-5. [CrossRef]
4. Chung CH, Szeto YK, Lai KK. ‘Fracture’ of the penis: a case series. Hong Kong Med J 2006; 12: 197-200.
5. Ahmad M, El-Taher, Hassan A, Aboul-Ella, Mohamed A. Sayed, and Atef A. Gaafar. Management of Penile Fracture. J Trauma 2004; 56: 1138-40.
6. McEleny K, Ramsden P and Pickard R. Penile fracture, Nat Clin Pract Urol 2006; 3: 170-4. [CrossRef]
7. Ishikawa T, Fujisawa M, Tamada H, Inoue T, Shimatani N. Fracture of the penis: Nine cases with evaluation of reported cases in Japan. Internati- onal Journal of Urology 2003; 10: 257-60. [CrossRef]
8. Esterlit A, Chaimowitsh G, Tzabari A, Shental J. Fracture of the penis: results of an immediate surgical approach. Urol Int 1996; 57: 62-4. [CrossRef]

9. Coşkun B, Ermeç B, Sönmez NC, Akça O, Güney S, Ergenekon E. Penil fraktürlü olgularda operasyon öncesi değerlendirme ve cerrahi dene- yimlerimiz. Ş.E.E.A.H. Tıp Bülteni, 2009; 43: 57-9.
10. Soylu A, Güneş A, Uğraş MY, İpek D, Baydinç C, Penil Fraktür. 11 Yıllık Deneyim. Türk Üroloji Dergisi, 2003; 29: 344-50.