scholarly journals Penile Fracture with Associated Urethral Rupture

2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Nicholas A. Boncher ◽  
Gino J. Vricella ◽  
Jason T. Jankowski ◽  
Lee E. Ponsky ◽  
Edward E. Cherullo
Keyword(s):  
Erectile Dysfunction ◽  
Surgical Repair ◽  
Potential Outcomes ◽  
Urethral Injury ◽  
Penile Curvature ◽  
Penile Fracture ◽  
Injury Treatment ◽  
Key Aspects ◽  
Urethral Rupture ◽  
Erect Penis

Penile fracture of the erect penis is an uncommon but emergent urological trauma. Potential outcomes include erectile dysfunction, penile curvature, and urethral injury. Treatment is emergent surgical repair. We present the case of a 42-year-old man with a penile fracture complicated by a urethral rupture and subsequent repair. A discussion of the key aspects of this condition is presented.

Penile fracture and investigation of early surgical repair effects on erectile dysfunction

2019 ◽  
Vol 86 (4) ◽  
pp. 207-210
Author(s):  
Bulent Kati ◽  
Yigit Akin ◽  
Mehmet Demir ◽  
Omer Faruk Boran ◽  
Kemal Gumus ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Erectile Function ◽  
Surgical Repair ◽  
Urethral Injury ◽  
Penile Curvature ◽  
Penile Fracture ◽  
Direct Trauma ◽  
Significant Difference ◽  
The Mean ◽  
Erect Penis

Objectives: Penile fracture is one of the urological emergencies caused by direct trauma to an erect penis during sexual intercourse, which results in a tear in the tunica albuginea within the corpus cavernosum. Serious complications such as penile curvature and erectile dysfunction may develop due to inappropriate and/or late surgical repair. This study aims to evaluate patients with penile fracture and to describe their demographics, surgical repairs, and long-term outcomes. Materials and Methods: A total of 56 patients who were diagnosed with penile fracture between January 2012 and June 2017 were reviewed. Clinical features, pre-operative assessment, time from injury to surgery, tunica defect properties, and presence of urethral injury were assessed. Early surgical management was performed. Outcomes, including International Index of Erectile Function 5 pre-operation and after 6 months, were evaluated. Results: The mean age was 30.2 (18–57) years. In etiological questionnaires, 32 (57.2%) patients reported direct trauma to an erect penis during intercourse. The mean size of tunica defects was 1.61 ± 0.42 (0.3–3.6) cm of the nine (16%) patients, and penile fracture was associated with urethral injury. There was no significant difference in International Index of Erectile Function 5 scores before the surgery and 6 months after surgery. Penile skin necrosis developed in one patient 10 days post-operation. Conclusion: Early surgical repair could be an effective method of achieving post-operative erection success in patients with penile fracture due to direct trauma during intercourse.

scholarly journals Penile Fracture: Simultaneous Complete Urethral Rupture with Bilateral Corpora Cavernosa Rupture

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Ibrahim Alnadhari ◽  
Osama Abdelhaleem Abdeljaleel ◽  
Venkata Ramana Pai Sampige ◽  
Ausama Abdulmuhsin ◽  
Ahmad Shamsodini
Keyword(s):  
Blunt Trauma ◽  
Sexual Intercourse ◽  
Rare Case ◽  
Urethral Injury ◽  
Penile Fracture ◽  
Surgical Exploration ◽  
Corpora Cavernosa ◽  
Retrograde Urethrogram ◽  
Proximal Urethra ◽  
Urethral Rupture

Penile fracture is not uncommon blunt trauma to the penis. Here, we present a rare case of penile fracture during sexual intercourse. The patient presented with penile swelling, bleeding per urethra, and inability to pass urine. Retrograde urethrogram showed significant extravasation of contrast from anterior penile urethra and no contrast passing to proximal urethra. Surgical exploration showed complete urethral rupture and bilateral cavernosal rupture. This case represents the value of urethrogram to evaluate the urethral injury and the association of complete urethral injury with bilateral ventral cavernosal injury.

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 Fracture of the penis in Jos, Nigeria: review of cases in 2020

2021 ◽  
Vol 8 (6) ◽  
pp. 804
Author(s):  
Chimaobi G. Ofoha ◽  
Ifiok P. Umana ◽  
Adedeji G. Adewale
Keyword(s):  
Urinary Retention ◽  
Acute Urinary Retention ◽  
Urethral Injury ◽  
Medical Attention ◽  
Penile Fracture ◽  
Rupture Length ◽  
Typical History ◽  
Urological Emergency ◽  
The Right ◽  
Urethral Rupture

Background: Penile fracture is a urological emergency and requires urgent medical attention. There was a relative upsurge in 2020. Diagnosis is usually based on typical history and examination findings suggestive of penile fracture. The objective of this study was to determine the demographics, clinical presentation and management of fracture of the penis.Methods: All patients who presented at the accident and emergency in 2020 with penile fracture were studied. The patients age, time to presentation, mechanism of injury, clinical features (cracking sound, pain, immediate detumescence, penile swelling, urethral bleeding and acute urinary retention) were recorded. Intraoperative findings (location of corpora rupture, length of tear and urethral rupture) were recorded and analysed.Results: Twelve patients were studied. The mean age was 34.8 years, range (20 years to 56 years). 58.3% presented within 24 hours of trauma. The commonest mechanism of penile fracture was sexual intercourse with the woman on top position (58%). 75% of the patients heard a popping sound. All patients had pain, detumescence and penile swelling (N=12) 100%. Two patients had urethral bleeding (N=2) 16.7%, with one having associated urethral rupture (N=1) 8.3%. Two patients had acute urinary retention (16.7%). Rupture of the right corpora occurred in 50%, 8.3% had bilateral rupture of the corpora. All the patients had repair of the corporal rupture. Urethral injury was repaired primarily. Erection and voiding post-repair were satisfactory.Conclusions: Fracture of the penis is a urological emergency. Diagnosis can be made based on typical history and examination findings. Prompt surgical intervention is advised to avoid complications and erectile dysfunction.

scholarly journals Risk factors of erectile dysfunction and penile vascular changes after surgical repair of penile fracture

2011 ◽  
Vol 24 (1) ◽  
pp. 20-25 ◽  
Author(s):  
A El-Assmy ◽  
H S El-Tholoth ◽  
M E Abou-El-Ghar ◽  
T Mohsen ◽  
E H I Ibrahiem
Keyword(s):  
Risk Factors ◽  
Erectile Dysfunction ◽  
Surgical Repair ◽  
Vascular Changes ◽  
Penile Fracture

scholarly journals Non sex-related subtotal rupture of the corpus cavernosum without urethral injury: A case report and literature review

2016 ◽  
Vol 88 (3) ◽  
pp. 233 ◽  
Author(s):  
Zeki Bayraktar ◽  
Selami Albayrak
Keyword(s):  
Surgical Repair ◽  
Tunica Albuginea ◽  
Correct Diagnosis ◽  
Corpus Cavernosum ◽  
Early Surgery ◽  
Urethral Injury ◽  
Penile Fracture ◽  
Minimal Rate ◽  
The Right

Although penile fracture is a rare case, it is a well-described urologic emergency. It results from the rupture of the tunica albuginea of corpora cavernosa by blunt strain that commonly mandates immediate surgical exploration. Urethral injury may also accompany penile fracture. An ideal anamnesis and a special physical examination were determinant to achieve a correct diagnosis. It is usually diagnosed based on clinical examination, but ultrasonography can be very helpful in diagnosis. The treatment is based on the presence of associated urethral injury. Early surgery is preferable to conservative management, because it is associated with better outcomes and fewer long-term complications. The surgical repair of cavernous body can produce good results, with a favorable prognosis and minimal rate of complications. We present a penile fracture case of 34-year-old with subtotal rupture of the right corpus cavernosum without urethral injury who treated by early surgery and good results.

scholarly journals Fracture penis: rare occurrence

2018 ◽  
Vol 5 (11) ◽  
pp. 3747
Author(s):  
Akhilesh Kumar Yadav ◽  
Sankalp Dwivedi ◽  
Sagar Bassi ◽  
Sunil Kumar Singh
Keyword(s):  
Blunt Trauma ◽  
Tunica Albuginea ◽  
Corpus Cavernosum ◽  
Penile Curvature ◽  
Corpus Spongiosum ◽  
Penile Fracture ◽  
Immediate Surgery ◽  
Almost All ◽  
Erect Penis

Fracture Penis is not usual. It is a tear in the tunica albuginea of the corpora cavernosa with or without involvement of corpus spongiosum and urethra. The usual cause is abrupt bending of the erect penis by blunt trauma, most commonly during sexual intercourse. A crackling sound, pain, detumescences, bruising, swelling, and bleeding per urethra are the common symptoms reported by the patients. Early surgical management is treatment of choice. Diagnosis of Penile Fracture refers to a rupture of the corpus cavernosum induced by blunt trauma to erect penis. Mainly diagnosed clinically from their stereotypical crackling sound from the erect penis at the moment of injury, rapidly followed by acute swelling, pain and penile deformity. Treatment recommendations include immediate exploration and repair. Surgical repair requires evacuation of hematoma, identification of tear, repair of the tear and ligation of any disrupted vasculature. Long term complications after repair include penile deviation, painful intercourse, painful erection and erectile dysfunction. The diagnosis of penile fracture is mostly clinical. Based on physical examination and typical crackling sound at the time of injury. Prompt surgical exploration and repair are advocated in almost all cases. Immediate surgery reduces long term complication which is post-traumatic penile curvature.

scholarly journals OUTCOMES OF SURGICAL MANAGEMENT OF FRACTURE PENIS: EXPERIENCE FROM A TERTIARY CARE HOSPITAL IN BANGLADESH

2019 ◽  
Vol 5 (4) ◽  
pp. 122-130
Author(s):  
Md. Selim Morshed ◽  
AKM Musa Bhuyian ◽  
Mohammad Saruar Alam ◽  
Md. Towhid Belal ◽  
Sayem Hossain ◽  
...  
Keyword(s):  
Erectile Dysfunction ◽  
Erectile Function ◽  
Surgical Repair ◽  
Tunica Albuginea ◽  
Tertiary Care ◽  
Self Report ◽  
Care Hospital ◽  
Penile Fracture ◽  
Uncommon Presentation

Background: Penile fracture is an emergency and uncommon presentation to the urology department. Immediate surgical repair can be a standard of care for patients with penile fracture. Objective: The study was conducted to evaluate the outcome of surgical repair of the fractured penis.Methods: This quasi-experimental study was conducted from Jan 2017 to Dec 2018 in the urology department of Dhaka Medical College Hospital, Bangladesh. Thirty-five patients with fractures of the penis were included in this study. After proper evaluation, surgery was performed under spinal anesthesia. Follow up was scheduled at 6th week, 3rd month, and 6th month. We used validated questionnaires of the ‘International index of erectile function (IIEF-5)’ for married and ‘Single question self-report (SQSR)’ for unmarried patients to evaluate postoperative erectile function.Results: Total 35 patients completed three follow up. The mean age of patients was 36.4 years, and 88% of them were married. The most common triggers were for vigorous sexual intercourse (68.5%) followed by history of rolling over in bed with erect penis (20.0%). Per-operative findings were: rupture of tunica albuginea (100%); rupture of corpora cavernosa on the right (65.7%). After 6th month, 28 patients (80%) were able to maintain their normal erectile function. However, seven patients developed erectile dysfunction, of which 4 had a mild form, and 3 had mild to moderate form erectile dysfunction. All patients complained of pain during or after intercourse, but the pain has gradually subsided with time.Conclusion: Immediate surgical exploration and repair of fracture penis can offer complete recovery of sexual and voiding functions.

scholarly journals Evaluation and management of traumatic rupture of the corpus cavrnosum

2007 ◽  
Vol 54 (2) ◽  
pp. 131-134 ◽  
Author(s):  
D. Milutinovic ◽  
Z. Dzamic ◽  
M. Acimovic ◽  
J. Hadzi-Djokic
Keyword(s):  
Conservative Therapy ◽  
Surgical Repair ◽  
Urethral Injury ◽  
Traumatic Rupture ◽  
Late Sequelae ◽  
Choice Of Treatment ◽  
Urethral Rupture

Fracture of the penis, or rupture of the corpus c avernosum is an uncommon injury, but probably under-reported entity. Only approximately 180 cases have been reported in the literature. Penile N fracture with urethral injury is even more uncommon, accounting for approximately 10 to 20% of the cases reported. Early reports on this injury suggest conservative therapy as the choice of treatment. Recent reports emphasize immediate surgical repair to prevent late sequelae of injury, especially those associated with urethral rupture. We review 5 cases with evaluation, treatment and follow-up. Delays in treatment lead to long-term complications. .

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