scholarly journals Superficial Dorsal Vein Injury/Thrombosis Presenting as False Penile Fracture Requiring Dorsal Venous Ligation

2014 ◽  
Vol 2 (4) ◽  
pp. 182-185 ◽  
Author(s):  
Arash Rafiei ◽  
Tariq S. Hakky ◽  
Daniel Martinez ◽  
Justin Parker ◽  
Rafael Carrion
Keyword(s):  
Penile Fracture ◽  
Dorsal Vein ◽  
Vein Injury

Rupture of Dorsal Vein Mimicking Penile Fracture: a Case Series Report and Literature Review

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Ba Z ◽  
◽  
Ziba OJD ◽  
Khatraty CSB ◽  
Kanza R ◽  
...  
Keyword(s):  
Sexual Intercourse ◽  
Surgical Management ◽  
Clinical Examination ◽  
Case Series ◽  
Final Diagnosis ◽  
Penile Fracture ◽  
Old Patients ◽  
Bleeding Vessel ◽  
Dorsal Vein ◽  
Vein Injury

Penile fracture is a rare and traumatic emergency in andrology. Immediate surgical repair is widely accepted as the therapy of choice in penile fracture. But some situations mimic penile fracture such as superficial dorsal vein rupture. There are few cases reported in the literature. Aim: To present a case series of injuries of the penile dorsal vein that occurred during sexual intercourse. Methods: A 48-year-old and 45-year-old patients both received in emergency for suspected penile fracture after one hour of vigorous sexual intercourse, the clinical examination and ultrasound were performed and the penile fracture was suspected. Surgical management in an emergency was indicated. Results: Per-operative diagnosis was a dorsal vein injury. The surgical management which consisted of early exploration, evacuation of hematoma, and ligation of the bleeding vessel in this case was good with preserving erectile function after surgery, without abnormal curvature erection. Conclusions: Vascular injuries of the penis can mimic perfectly penile fractures. The medical history and clinical examination can lead to prompted exploration for suspected penile fracture. The ultrasound exploration can be limited for detection of penile vascular injury and final surgical exploration offers final diagnosis and repairment of the trauma. Clinical evolution is favorable, without painful nocturnal erections or deviation of the penis or hypoesthesia of the glans.

scholarly journals False Penile Fracture: Case Series and Literature Review

2021 ◽  
Author(s):  
Deniz Noyan Özlü ◽  
Kamil Gökhan Şeker ◽  
Emre Sam ◽  
Yusuf Arıkan ◽  
Joshgun Hüseynov ◽  
...  
Keyword(s):  
Intraoperative Complications ◽  
Case Series ◽  
Penile Curvature ◽  
Penile Fracture ◽  
Wound Site ◽  
Dorsal Vein ◽  
Sensory Disturbances ◽  
Patient Series ◽  
Vein Injury ◽  
Urological Emergencies

Objective: Penile fracture is one of the urological emergencies that require early surgical intervention. False penile fracture, on the other hand, is a condition that presents with similar clinical features and can be treated conservatively. In this study, in the light of the literature, it was aimed to present the clinical and operative results of 8 patients who were operated on with a prediagnosis of penile fracture and then diagnosed with a false penile fracture.Material and Methods: Data of 8 patients who were diagnosed with a false penile fracture between January 2006 and September 2019 were retrospectively analyzed. Patients’ demographic characteristics, preoperative, intraoperative and postoperative data were retrospectively analyzed. Results: Mean age of the patients was 39.12 (28-54) years. The most common complaints were penile swelling and ecchymosis. The most common etiological factors were as follows: sexual intercourse in 6, masturbation in 1, and manual bending of the erect penis in 1 patient. All operations were performed by degloving the penis from the circumcision line. Superficial dorsal vein injury was detected in 6, and nonspecific dartos bleeding was detected in 2 patients. There were no intraoperative complications. Wound site infection developed in 1 patient postoperatively. No erectile dysfunction, penile curvature, and sensory disturbances were detected in any patient. Conclusion: It is difficult to distinguish a false penile fracture from true penile fracture clinically or radiologically. False penile fracture can be treated conservatively without the need for surgery. Surgery should still be the first-line treatment option in suspected patients. Studies with larger patient series are needed on this subject.

scholarly journals Isolated rupture of the superficial dorsal vein of the penis during intercourse: A rare cause of false penile fracture

2021 ◽  
pp. 101761
Author(s):  
Mohammed Ettaouil ◽  
Chouaib Waffar ◽  
Hamza Moudlige ◽  
Mohamed Dakir ◽  
Adil Debbagh ◽  
...  
Keyword(s):  
Penile Fracture ◽  
Dorsal Vein

scholarly journals Superficial Dorsal Vein Rupture Imitating Penile Fracture

2011 ◽  
Vol 52 (4) ◽  
pp. 293
Author(s):  
Caner Baran ◽  
Medih Topsakal ◽  
Ender Kavukcu ◽  
Tahir Karadeniz
Keyword(s):  
Penile Fracture ◽  
Dorsal Vein

scholarly journals Penile fracture: Penoscrotal approach with degloving of penis after Magnetic Resonance Imaging (MRI)

2014 ◽  
Vol 86 (1) ◽  
pp. 39 ◽  
Author(s):  
Gabriele Antonini ◽  
Patrizio Vicini ◽  
Salvatore Sansalone ◽  
Giulio Garaffa ◽  
Antonio Vitarelli ◽  
...  
Keyword(s):  
Magnetic Resonance Imaging ◽  
Magnetic Resonance ◽  
Tunica Albuginea ◽  
Corpus Cavernosum ◽  
Clinical History ◽  
Traumatic Rupture ◽  
Resonance Imaging ◽  
Penile Fracture ◽  
Dorsal Vein ◽  
Magnetic Resonance Imaging Mri

Fracture of the penis, a relatively uncommon emergency in Urology, consists in the traumatic rupture of the tunica albuginea of the corpus cavernosum. Examination and clinical history can be highly suspicious of penile fracture in the majority of cases and ultrasonography (USS) can be useful to identify the exact location of the tunical rupture, which is proximal in 2/3 of cases and therefore manageable through a penoscrotal approach. Although expensive and not readily available in the acute setting, Magnetic Resonance Imaging (MRI) may play a role in the differential diagnosis with rupture of a circumflex or dorsal vein of the penis or when the tunical rupture is not associated with tear of the overlying Buck’s fascia. This form of imaging is more sensitive than USS at identifying the presence of a tunical tear. The treatment of choice is immediate surgical repair, which allows preserving erectile function and minimizing corporeal fibrosis.

Dorsal Vein Injuries Observed During Penile Exploration for Suspected Penile Fracture

2007 ◽  
Vol 4 (4) ◽  
pp. 1142-1146 ◽  
Author(s):  
Yuval Bar-Yosef ◽  
Alexander Greenstein ◽  
Avi Beri ◽  
Ghalib Lidawi ◽  
Haim Matzkin ◽  
...  
Keyword(s):  
Penile Fracture ◽  
Dorsal Vein

scholarly journals Fracture Penis: An Analysis of 26 Cases

2006 ◽  
Vol 6 ◽  
pp. 2327-2333 ◽  
Author(s):  
G.V.Soundra Pandyan ◽  
Ahmed Bakeet Zaharani ◽  
Mohammed Al Rashid
Keyword(s):  
Late Complication ◽  
Causative Factor ◽  
Clinical Findings ◽  
Penile Fracture ◽  
Dorsal Vein ◽  
Absorbable Sutures ◽  
Common Clinical Finding ◽  
Tear Size ◽  
Penile Hematoma ◽  
Patient Infection

The aim of this study was to review the pattern of penile fracture occurrence, its clinical presentation, diagnosis, management, and outcome at our center. A retrospective analysis of 26 patients with penile fractures treated at our hospital from January 1997 to January 2005 was carried out. We noted an incidence of 3.5 cases per year, occurring more commonly in unmarried men. Of our study group, 28 episodes of penile fractures occurred in 26 patients. Hospital presentation after trauma varied from 2 h to 21 days. Masturbation was the main initiating causative factor and penile hematoma was the most common clinical finding. Nearly 81% noticed the characteristic click prior to the fracture. Clinical diagnosis was adequate in a majority of the cases. Midshaft fractures with right-sided laterality were more frequent in this series. The tear size ranged from 0.5—2.5 cm with a mean of 1.1 cm. All cases, but one, were treated by surgical repair using absorbable sutures. Out of three cases treated conservatively, two failed to respond and had to be treated surgically. False fracture with dorsal vein tear was present in two cases. Involvement of bilateral corpora was seen in one patient. Infection was the most common early complication, while pain with deviation was the late complication. In our experience, clinical findings are adequate enough to diagnose fracture penis in a majority of cases. Surgical exploration with repair of the tear is recommended both in early and delayed presentations. There was no noticeable relationship to the time of initial presentation or with the size and site of tear to the final outcome.

946: Management of Penile Fracture in Men with Peyronie's Disease

2005 ◽  
Vol 173 (4S) ◽  
pp. 256-256
Author(s):  
Thomas X. Minor ◽  
Nadeem U. Rahman ◽  
Tom F. Lue
Keyword(s):  
Peyronie’S Disease ◽  
Penile Fracture ◽  
Peyronie's Disease

308: Penile Fracture: An Epidemic in Vietnam

2006 ◽  
Vol 175 (4S) ◽  
pp. 102-102
Author(s):  
Nhu Thanh Nguyen ◽  
Chuyen Le Vu
Keyword(s):  
Penile Fracture

Penile Fracture-Report of Two Cases and Review of Current Literature

KYAMC Journal ◽  
2019 ◽  
Vol 10 (2) ◽  
pp. 122-125
Author(s):  
Ashraf Uddin Mallik ◽  
Mostafizur Rahman ◽  
Fatema Bagum ◽  
Uttam Karmaker ◽  
Baikali Ferdous ◽  
...  
Keyword(s):  
Tunica Albuginea ◽  
Traumatic Rupture ◽  
Penile Fracture ◽  
Corpora Cavernosa ◽  
Effective Treatment Modality ◽  
Special Cases ◽  
History Of ◽  
Penile Injury ◽  
Urological Emergency ◽  
Erect Penis

Penile fracture is an uncommon urological emergency, especially in Bangladesh. The other name is traumatic rupture of the tunica albuginea and corpora cavernosa in the erect penis. It occurs when an erect penis face to buckle under the pressure of a blunt sexual trauma. Patient gives the typical history of immediate detumescence, severe pain, swelling and eggplant deformity of the penile shaft due to penile injury. Immediate surgical exploration and repair of corpora Cavernosa with tunica albugenia is the most effective treatment modality. In normal cases diagnosis is made from history, physical examination alone. In some special cases ultrasonogram, radiological images, including retrograde urethrography or cavernosography are mandatory for proper diagnosis. KYAMC Journal Vol. 10, No.-2, July 2019, Page 122-125

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