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Current treatment options for penile fractures
Reviews in Urology
|September 21, 2006
Summary
Penile fracture, a rupture of the tunica albuginea during erect intercourse, requires prompt surgical repair for effective treatment. Diagnosis is usually clinical, but imaging can assist in complex cases.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile fracture involves traumatic rupture of the tunica albuginea in an erect penis.
- This injury commonly results from blunt sexual trauma causing penile buckling and rupture.
Purpose of the Study:
- To summarize the diagnosis and treatment of penile fracture.
- To highlight the importance of prompt surgical intervention.
Main Methods:
- Review of clinical presentation including immediate detumescence, pain, and swelling.
- Physical examination as a primary diagnostic tool.
- Discussion of adjunctive radiographic studies like retrograde urethrography and corporal cavernosography for challenging cases.
Main Results:
- Surgical exploration and corporal repair are the most effective treatments.
- Most cases are diagnosed via history and physical exam.
- Imaging aids in diagnosing atypical presentations.
Conclusions:
- Prompt surgical intervention is crucial for optimal outcomes in penile fracture.
- Clinical diagnosis is often sufficient, supplemented by imaging when necessary.
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