However, most patient series are small and the value of the different diagnostic tools is uncertain. Immediate surgery is recommended and preoperative localization of the rupture site is important for the extent of the surgical dissection. Trauma during sexual intercourse is the most common cause but forceful manipulation of the penis to achieve detumescence also occurs. The erect penis is at risk of fracture since the thickness of tunica albuginea, which is ca 2 mm when the penis is flaccid, is reduced to 0.25 mm when the penis is erect. It is a rare urological emergency and immediate surgical repair is recommended to obtain optimal functional outcome and avoid complications. Penile fracture is defined as a rupture of tunica albuginea caused by blunt trauma during erection. A longitudinal incision over the rupture site means significantly shorter operation time than de-gloving. Magnetic Resonance Imaging is recommended for localizing the rupture site. Conclusions: Immediate pain, swelling and hearing a cracking sound are predominant features in the history of patients with penile fracture. Short term complications were seen in four patients and long term complications were seen in 14 patients of which deviation of penis during erection was most common. The average operation time with longitudinal incision method and de-gloving was 43 minutes and 57 minutes, respectively.
#Penile fracture imaging skin
A longitudinal incision over the suspected site of the rupture was used in 20 patients and a sub-coronal de-gloving incision of the penile skin was used in 10 patients. Magnetic Resonance Imaging was used preoperatively in 10 patients and demonstrated the side and localization of the rupture in tunica albuginea in all cases. Results: Twenty-eight patients (90%) experienced immediate pain at incidence 29 (94%) experienced immediate swelling 23 (74%) heard a cracking sound 20 (65%) observed a blue discoloration immediately afterwards and 20 (65%) got immediate detumescence. Follow-up data were available for 23 patients. Data were retrieved from patients’ journals and analyzed retrospectively. Methods: Thirty-one patients were treated for penile fracture during the period 2006-2014. Preoperative imaging should not delay surgical repair.Objectives: The aim of this study is to review the diagnostic work-up, treatment methods and outcomes in patients treated for penile fractures. The ideal management has evolved and remains largely surgical. Most authors advocated early surgical repair. Conservative measures were associated with increased complications. Associated injuries included urethral rupture. The diagnosis was usually fairly straightforward because of the stereotypical clinical presentation. The commonest causes were coital injuries and penile manipulation. The injury is defined as the traumatic rupture of the corpus cavernosum secondary to a blunt trauma of the erect penis. Review of the available literature to establish best-practice management. In this article, we will review contemporary knowledge of the epidemiology, pathophysiology, evaluation, and evolving management strategies of penile fracture.Ī case report was discussed followed by an English-language Medline review. Its management has been a subject of controversy. It is relatively uncommon and is considered a urological emergency. Penile fracture is a well-recognized clinical entity.
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