Adolescent with penile fracture and complete urethral transection
Gaurav Singh1, John-Paul Capolicchio
1Section on Pediatric Urology, Division of Urology, Vermont Children's Hospital, University of Vermont College of Medicine, 111 Colchester Avenue, Fletcher 469A, Burlington, Vermont 05401, USA.
Journal of Pediatric Urology
|October 25, 2008
Summary
This study details the first pediatric penile fracture with complete urethral transection from a fall. Management involved a novel scrotal approach for penile and urethral repair.
Area of Science:
- Urology
- Pediatric Surgery
- Trauma Surgery
Background:
- Penile fracture is rare in children.
- Complete urethral transection is an uncommon complication.
- Accidental falls are an unusual cause of penile trauma.
Purpose of the Study:
- To report the first pediatric case of penile fracture with complete urethral transection.
- To describe an atypical presentation with scrotal swelling and ecchymosis.
- To present a modified surgical approach for repair.
Main Methods:
- Case report of a pediatric patient with penile fracture and urethral injury.
- Diagnosis confirmed via clinical examination and imaging.
- Surgical repair utilizing a scrotal approach for corporoplasty and urethroplasty.
Main Results:
- Successful plastic reanastomosis of the corpora cavernosa and urethra was achieved.
- The scrotal approach avoided the need for a degloving incision.
- The patient experienced a favorable outcome with resolution of symptoms.
Conclusions:
- Penile fractures in children, though rare, require prompt diagnosis and management.
- A scrotal approach may be a viable alternative for surgical repair in select cases.
- This case highlights the importance of considering atypical presentations and surgical techniques in pediatric penile trauma.
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