[Penile fracture with associated urethral rupture]
Roberto Llarena Ibarguren1, Ainara Villafruela Mateos, Igor Azurmendi Arin
1Servicio de Urología, Hospital de Cruces, Osakidetza, Bilbao, Vizcaya, España. rllarena@euskalnet.net
Archivos Espanoles De Urologia
|November 3, 2006
Summary
Penile fracture is a rare emergency, sometimes involving urethral rupture or recurrent injury. Immediate surgical repair of penile fractures improves outcomes and prevents long-term complications.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile fracture, a rupture of the corpora cavernosa, is a rare urological emergency.
- Associated injuries, such as urethral rupture, are uncommon but increase complexity.
Observation:
- Two cases of penile fracture are presented: one with corpus spongiosum rupture and complete urethral section, and another with a recurrent fracture after three years.
- The first patient experienced a repeat fracture of the corpus cavernosum, requiring immediate surgical repair.
- The second patient sustained bilateral fractures at the base of the corpora cavernosa with complete urethral transection, necessitating emergency surgical intervention.
Findings:
- The association of penile fracture with urethral rupture is exceptional.
- Recurrent penile fractures years after initial trauma are also rare occurrences.
- Both patients underwent successful surgical repair with good functional and esthetic outcomes.
Implications:
- Immediate surgical management of penile fractures, including hematoma evacuation and repair of tunical and urethral lesions, is crucial.
- Prompt treatment can lead to better functional results and mitigate mid- to long-term complications.
- These cases highlight the importance of timely intervention for complex penile trauma.
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