scholarly journals Pulsative hematoma: A penile fracture complication

2007 ◽  
Vol 64 (1) ◽  
pp. 58-60
Author(s):  
Djordje Nale ◽  
Sava Micic
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Blunt Trauma ◽  
Sexual Intercourse ◽  
Fracture Treatment ◽  
Early Complication ◽  
Penile Fracture ◽  
Fracture Complication ◽  
Erect Penis

Background. Fracture of the penis is a direct blunt trauma of the erect or semi-erect penis. It can be treated by conservative or surgical means. Retrospective analyses of conservative penile fracture treatment reveal frequent immediate and later complications. Case report. We presented a 41- year-old patient with pulsative hematoma caused by an unusual fracture of the penis. Fracture had appeared 40 days before the admittance during a sexual intercourse. The patient was treated surgically. Conclusion. Pulsative hematoma (pulsative diverticulum) is a very rare, early complication of a conservatively treated penile fracture. Surgical treatment has an advantage over surgical one, which was confirmed by our case report.

scholarly journals Delayed Presentation of a Penile Fracture: A Case Report

2021 ◽  
Vol 4 (1) ◽  
pp. 56-58
Author(s):  
Ashok Kumar Yadav ◽  
Sudhir Kumar Singh ◽  
Raju Chapagain ◽  
Prem Das ◽  
Jag Mohan Osti ◽  
...  
Keyword(s):  
Case Report ◽  
Spinal Anesthesia ◽  
Blunt Trauma ◽  
Clinical Diagnosis ◽  
Clinical Examination ◽  
Delayed Presentation ◽  
Penile Fracture ◽  
Urological Emergency ◽  
Bluish Discoloration ◽  
Erect Penis

Penile fracture is a urological emergency caused by blunt trauma to an erect penis. We report a case of a 40-year-old male who presented with a complaint of a painful swelling of the penis for 4 days. On examination, a flaccid swollen tender penis with bluish discoloration over the shaft and scrotum was noted. A clinical diagnosis of delayed penile fracture was made which was managed immediately surgically under spinal anesthesia. Ourreport emphasizes that penile fracture is diagnosed solely on a reliable history and clinical examination. It has outstanding outcome despite delayed presentation if treated promptly.

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 Surgical Treatment and Complications of Penile Fractures

2007 ◽  
Vol 7 (1) ◽  
pp. 37-39 ◽  
Author(s):  
Benjamin Kulovac ◽  
Damir Aganović ◽  
Dželaludin Junuzović ◽  
Alden Prcić ◽  
Osman Hadžiosmanović ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Sexual Intercourse ◽  
Corpus Cavernosum ◽  
Penile Curvature ◽  
Penile Skin ◽  
Partial Rupture ◽  
Penile Fracture ◽  
Medical Centers ◽  
Therapy Choice ◽  
Spontaneous Erection

Paper goal is to determine complications after urgent surgical treatment of patient with penile fractures, by using circumferential-degloving technique (degloving penile skin to root of penis). In period between 1998-2006 year, 23 patients have been treated as urgent cases with clinically proven penis fracture, age between 18 and 35. Patients were treated in 3 medical centers in Bosnia and Herzegovina(Sarajevo, Tuzla and Zenica). All 23 (100%) patients were injured during sexual intercourse. In the case of 20 (86,9%) patients partial rupture of corpus cavernosum was verified. Two (8,6%) patients had a complete rupture of urethra and it was primary sutured. In 22 cases (95,6%) spontaneous erection appeared, and in the case of 2 (8,6%) patients penile curvature was verified. Urgent surgical treatment is the best therapy choice, which enables preservation of erection in great number of cases in patients with penile fracture.

scholarly journals A case of penile fracture with complete urethral disruption during sexual intercourse: a case report

2007 ◽  
Vol 1 (1) ◽  
Author(s):  
Klemen Jagodič ◽  
Marko Erklavec ◽  
Igor Bizjak ◽  
Sandi Poteko ◽  
Helena Korošec Jagodič
Keyword(s):  
Case Report ◽  
Sexual Intercourse ◽  
Penile Fracture

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 Penile Fracture Due to Manipulation

2013 ◽  
Vol 16 (1) ◽  
pp. 44-46
Author(s):  
KABM Taiful Alam ◽  
Md Sayedul Islam ◽  
Toufiqul Haque ◽  
Shamim Hossain ◽  
Tazul Islam ◽  
...  
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Corpus Cavernosum ◽  
Penile Fracture ◽  
College Hospital ◽  
Medical College ◽  
Interrupted Suture ◽  
Post Operative Period ◽  
Urethral Orifice ◽  
Erect Penis

A 24 year old young patient presented in the emergency department of Shaheed Monsur Ali Medical College Hospital, Uttara, Dhaka with swollen, curved and flaccid penis after forceful bending of his erect penis. The patient was anxious with normal vital sign. Rolling sign was positive. There was no bleeding at external urethral orifice, scrotum & testicle were found normal. On the above facts, penile fracture was diagnosed clinically. The penis was degloved upto the root of the penis & after evacuation of the haematomas, transverse tears were detected in Bucks fascia & tunica albugenia of the left corpus cavernosum, which were repaired by interrupted suture. In the post operative period sedative was given & recovery was uneventful. The aim of this case report is to increase the awareness of the condition which should be regarded seriously and treated expeditiously and to draw attention to its possible complications. DOI: http://dx.doi.org/10.3329/jss.v16i1.14448 Journal of Surgical Sciences (2012) Vol. 16 (1) : 44-46

Penile Fracture Following Husband Abuse: A Case Report

2008 ◽  
Vol 3 (4) ◽  
pp. 330-332
Author(s):  
Paul O. Dienye ◽  
Nze J. Jebbin ◽  
Precious K. Gbeneol
Keyword(s):  
Erectile Dysfunction ◽  
Case Report ◽  
Sexual Intercourse ◽  
Teaching Hospital ◽  
Rare Condition ◽  
Sudden Onset ◽  
Lateral Side ◽  
Penile Fracture ◽  
Rural Clinic ◽  
Grade 3

The case of a 35-year-old fisherman who presented in a rural clinic with a sudden onset of painful penile swelling affecting the left lateral side with associated rapid detumescence is reported. He had tried to coerce his wife to a sexual intercourse when she forcefully bent his penis. He was initially managed with cold applications, oral diclofenac potassium, chymoral, and splinting of the penis and then referred to the urological services of a teaching hospital. He defaulted only to re-present about 2 weeks later with some improvement in his symptoms. Further advice to see the urologist was also rebuffed on financial grounds. When he reported about 1 month later, he was assessed to have grade 3 erectile dysfunction. In conclusion, penile fracture is a rare condition which follows unphysiological bending of the tumescent penis during sexual intercourse or masturbation. That following husband abuse is rarer. The sequelae can be devastating.

The Role of Navigation and Ultrasound Piezosurgery in the Surgical Treatment of Hypertelorism: A Case Report

2014 ◽  
Vol 75 (S 02) ◽  
Author(s):  
S. Heredero ◽  
J. Solivera ◽  
A. Romance ◽  
A. Dean ◽  
J. Lozano
Keyword(s):  
Case Report ◽  
Surgical Treatment
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