MRI of penile fracture: diagnosis and therapeutic follow-up

2001 ◽  
Vol 12 (1) ◽  
pp. 113-120 ◽  
Author(s):  
Michael Uder ◽  
Dietrich Gohl ◽  
Masahide Takahashi ◽  
Harry Derouet ◽  
Luc Defreyne ◽  
...  
Keyword(s):  
Penile Fracture ◽  
Fracture Diagnosis

Penile Fracture: Diagnosis, Treatment and Outcomes of 150 Patients

Urology ◽  
2010 ◽  
Vol 76 (6) ◽  
pp. 1488-1492 ◽  
Author(s):  
Leandro Koifman ◽  
Rodrigo Barros ◽  
Ricardo A.S. Júnior ◽  
André G. Cavalcanti ◽  
Luciano A. Favorito
Keyword(s):  
Penile Fracture ◽  
Fracture Diagnosis

scholarly journals Urinary and sexual functions after surgical treatment of penile fracture concomitant with complete urethral disruption

2014 ◽  
Vol 86 (1) ◽  
pp. 15 ◽  
Author(s):  
Ali Abdel Raheem ◽  
Hassan El-Tatawy ◽  
Ahmed Eissa ◽  
Abdel Hamid Elbahnasy ◽  
Mohamed Elbendary
Keyword(s):  
Case Series ◽  
Surgical Reconstruction ◽  
Urethral Injury ◽  
Penile Curvature ◽  
Retrospective Case ◽  
Penile Fracture ◽  
Case Series Study ◽  
Long Term Follow Up

Objectives: Penile fracture with concomitant complete urethral disruption is an uncommon urologic disorder. Data about the treatment and outcome measurements of this condition are scarce in the literature. The aim of the present study is to evaluate the long term urinary and sexual functions of patients with penile fracture associated with complete urethral injury after immediate surgical reconstruction. Patients and methods: Twelve patients met our inclusion criteria and were included in this retrospective case series study; however, one was lost during follow-up. Patient's medical records were reviewed and all patients were interviewed for clinical evaluation. Urinary function was assessed by history, uroflometry and retrograde urethrography, while, sexual function was assessed by questionnaire (Sexual Health Inventory for Men) and penile Doppler for patients with erectile dysfunction. Results: Patients’ mean age was 32.3 ± 7.5 years (range 21-43) and the mean follow-up period was 72.6 ± 45.4 months (range 14-187). Vigorous sexual intercourse was the main cause in 91% of our patients. No serious long term complications was found. Only 1 patient (9%) suffered from anterior urethral stricture, 1 patient (9%) complained of weak erection, 3 patients (27%) had a palpable fibrosis and 2 patients (18%) reported a slight penile curvature during erection. Ninety one percent of all our patients maintained their normal urinary and sexual functions. Conclusion: On the long term follow-up, most of the patients maintained their normal erectile and voiding functions with no harmful long-term complications. We advocate immediate surgical intervention and reconstruction of both corpora cavernous and urethra as a first line treatment for those patients.

scholarly journals Medical management of a penile fracture with presumed pyelonephritis in a juvenile dog

2020 ◽  
Vol 8 (3) ◽  
pp. e001176
Author(s):  
Andrea Petrelli ◽  
Maurizio Longo ◽  
Annelies Willems ◽  
Tiziana Liuti
Keyword(s):  
Ultrasound Examination ◽  
Urinary Catheter ◽  
Clinical Signs ◽  
Acute Onset ◽  
Cranial Bone ◽  
Ossification Centre ◽  
Penile Fracture ◽  
Bony Fragment ◽  
Os Penis

A three-month-old male entire Bouvier des Flandres was presented for acute onset dysuria, haematuria, lethargy and severe pain on palpation of the penis. Further investigation revealed a parcellar fracture of the cranial separate ossification centre of the os penis and associated urinary tract infection with presumed pyelonephritis. Fluoroscopic retrograde urethrography was performed revealing intermittent urethral obstruction caused by displacement of the cranial bone fragment of the separate ossification centre of the os penis. The urethra was catheterised to realign the fragments and to permit urination and antibiotic treatment was started. The urinary catheter was kept in place for five days. After its removal, normal urination was observed with complete resolution of the clinical signs. Follow-up radiographs and ultrasound examination confirmed resolution of mechanical obstruction with fusion of part of the separate ossification centre and realignment of the displaced bony fragment.

scholarly journals Mechanisms Predisposing Penile Fracture and Long-Term Outcomes on Erectile and Voiding Functions

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Leonardo O. Reis ◽  
Marcelo Cartapatti ◽  
Rafael Marmiroli ◽  
Eduardo Jeronimo de Oliveira Júnior ◽  
Ricardo Destro Saade ◽  
...  
Keyword(s):  
Penile Prosthesis ◽  
Self Report ◽  
Phone Call ◽  
Urethral Injury ◽  
Absorbable Suture ◽  
Penile Fracture ◽  
Heterosexual Intercourse ◽  
Sexual Position

Purpose.To determine the mechanisms predisposing penile fracture as well as the rate of long-term penile deformity and erectile and voiding functions.Methods.All fractures were repaired on an emergency basis via subcoronal incision and absorbable suture with simultaneous repair of eventual urethral lesion. Patients’ status before fracture and voiding and erectile functions at long term were assessed by periodic follow-up and phone call. Detailed history included cause, symptoms, and single-question self-report of erectile and voiding functions.Results.Among the 44 suspicious cases, 42 (95.4%) were confirmed, mean age was 34.5 years (range: 18–60), mean follow-up 59.3 months (range 9–155). Half presented the classical triad of audible crack, detumescence, and pain. Heterosexual intercourse was the most common cause (28 patients, 66.7%), followed by penile manipulation (6 patients, 14.3%), and homosexual intercourse (4 patients, 9.5%). “Woman on top” was the most common heterosexual position (n=14, 50%), followed by “doggy style” (n=8, 28.6%). Four patients (9.5%) maintained the cause unclear. Six (14.3%) patients had urethral injury and two (4.8%) had erectile dysfunction, treated by penile prosthesis and PDE-5i. No patient showed urethral fistula, voiding deterioration, penile nodule/curve or pain.Conclusions.“Woman on top” was the potentially riskiest sexual position (50%). Immediate surgical treatment warrants long-term very low morbidity.

scholarly journals Double penile fracture with complete urethral disruption following anal intercourse: a case report

2019 ◽  
Vol 6 (7) ◽  
pp. 2602
Author(s):  
Sasanka K. Barua ◽  
Sarbartha Kumar Pratihar ◽  
Rajeev T. P. ◽  
Saumar J. Baruah ◽  
Puskal K. Bagchi ◽  
...  
Keyword(s):  
Tunica Albuginea ◽  
Corpus Cavernosum ◽  
Anal Intercourse ◽  
Penile Fracture ◽  
Healthy Life ◽  
Urethral Wall ◽  
Urgent Surgery ◽  
Penile Injury ◽  
Extreme Care

Penile fracture remains a rare, under reported condition. It is defined as blunt trauma resulting in tear of tunica albuginea surrounding the corpus cavernosum during erection. Prompt diagnosis and early surgical repair are essential. Here we report a case of 37 years male with penile fracture involving both corpora cavernosum and complete urethral disruption. A 37-year-old man presented with penile injury during anal intercourse. Physical examination revealed a swollen, ecchymotic penis with dorsal angulation. Penile ultrasound showed tear in bilateral corpora cavernosa at ventral aspect with hematoma. On exploration tear in bilateral corpora with complete penile urethral disruption seen. Repair of corporal tear with end to end anastomotic urethroplasty done. He has normal voiding and sexual function at 4th months of follow up. The diagnosis of this condition is clinical, which is further augmented by high frequency sonography, which can detect exact site of the tear, also allows evaluation of penile vascularity. Evaluation of the urethra with sonography can help identify interruption of the urethral wall. As in our patient, double fracture involving corpora cavesnosa of both sides with complete urethral disruption, is rare entity. Urgent surgery with complete penile degloving is advocated and extreme care is needed not to miss any injury. Fracture of the penis is a rare surgical emergency. The diagnosis is clinical, however high-resolution sonography and colour Doppler are helpful. Early and prompt surgical intervention can restore normal voiding and erectile function to lead a healthy life.

scholarly journals Penile fracture with urethral injury: Our experience in a tertiary care hospital

2019 ◽  
Vol 90 (4) ◽  
pp. 283-287
Author(s):  
Priyatham Kasaraneni ◽  
Prasad Mylarappa ◽  
Ramesh Desi Gowda ◽  
Sandeep Puvvada ◽  
Dheeraj Kasaraneni
Keyword(s):  
Tertiary Care ◽  
Urethral Injury ◽  
Common Mechanism ◽  
Care Hospital ◽  
Penile Fracture ◽  
Urethral Trauma ◽  
Effective Option ◽  
Urological Emergency ◽  
Local Examination

Penile fracture is a rare urological emergency that always requires immediate attention. It may be associated with urethral trauma in 9% to 20% of cases. We present our experience in treating 12 such cases. This is a prospective observational study extending from January 2000 to December 2016. Each patient with penile fracture underwent a thorough clinical evaluation and received proper treatment. Seventy-five patients with penile fracture, aged 25 to 36 years (mean, 31.5 years) were evaluated in this study. Sexual intercourse was the common mechanism of injury in most of the patients. 12 of the patients had associated urethral injury. All the patients were diagnosed on taking proper history and after clinical examination. All patients were subjected emergency surgical exploration. All the patients underwent minimum of 1 year of follow-up, and were evaluated with local examination, uroflowmetry and Colour Doppler ultrasonography. Penile fracture is associated with urethral injury especially in the presence of suggestive history and physical examination like acute urinary retention, bleeding per urethra. Immediate primary surgical management of both the penile fracture and urethral injury is a safe and effective option with minimal complications.

scholarly journals Penile fracture with bilateral corporeal rupture and complete urethral disruption: case report and literature review

2013 ◽  
Vol 5 (2) ◽  
pp. 23
Author(s):  
Nathan A. Hoag ◽  
Kiara Hennessey ◽  
Alan So
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Erectile Function ◽  
Surgical Repair ◽  
Review Of The Literature ◽  
Penile Fracture ◽  
Rare Injury ◽  
Surgical Exploration ◽  
Corpora Cavernosa

Penile fracture is a rare injury most commonly sustained duringsexual intercourse. We report the case of a 35-year-old man whopresented with bilateral rupture of the corpora cavernosa andcomplete disruption of the urethra. A review of the literature onpenile fracture is also presented. Urgent surgical exploration wasperformed and the injuries repaired primarily. In follow-up, thepatient reported satisfactory erectile function. This case highlightsthe importance of early surgical repair and evaluation for concomitanturethral injuries in cases of penile fracture.

scholarly journals Penile fracture and associated urethral injury: Experience at a tertiary care hospital

2013 ◽  
Vol 7 (3-4) ◽  
pp. E168-170 ◽  
Author(s):  
Amit Attam ◽  
Arun Kerketta ◽  
Bharat Behera ◽  
Navin Ram ◽  
Sameer Trivedi ◽  
...  
Keyword(s):  
Tertiary Care ◽  
Urethral Injury ◽  
Care Hospital ◽  
Penile Fracture ◽  
Urethral Trauma ◽  
Typical History ◽  
The Mean ◽  
High Level ◽  
Good Flow

Introduction: Penile fracture may be associated with urethral trauma in 1% to 38% of cases. We present our experience in treating 8 such cases.Methods: Data were collected retrospectively from hospital records and from out-patient department follow-up visits.Results: The mean age of the patients was 30.4 years; trauma during coitus was the most common cause of the penile fracture. One patient presented after 7 days. Two patients had normal examination of their penis despite typical history. All fractures were repaired on an emergency basis via subcoronal incision. In 2 patients with normal findings, the urethra had to be mobilized to locate the site of the injury. In 1 patient, the site of the urethral trauma was 1 cm away from the site of the corporal injury, which was localized by injecting sterile methylene blue per urethra. Postoperatively, all patients voided with good flow and had erections with adequate rigidity.Conclusion: A high level of suspicion for urethral injury during surgical exploration is warranted, especially in the presence of suggestive history and examination.

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