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Fractured penis: diagnosis and management
Tariq F Al-Shaiji1, Justin Amann, Gerald B Brock
1Department of Surgery, Division of Urology, University of Western Ontario, Ontario, Canada. tshaiji@gmail.com
The Journal of Sexual Medicine
|January 23, 2010
Summary
Penile fracture, a urological emergency, involves corpus cavernosum rupture from blunt trauma. Early surgical repair is recommended over conservative measures for better outcomes.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile fracture is a rare but serious urological emergency.
- Management strategies for penile fracture have historically been debated.
Purpose of the Study:
- To review current knowledge on penile fracture epidemiology, pathophysiology, diagnosis, and management.
- To establish best-practice management through literature review.
Main Methods:
- Discussion of a case report.
- Comprehensive English-language Medline literature review.
Main Results:
- Penile fracture is defined as traumatic rupture of the corpus cavernosum due to blunt trauma to an erect penis.
- Common causes include coital injuries and penile manipulation; diagnosis is typically clinical.
- Early surgical repair is generally advocated, with conservative measures linked to higher complication rates.
Conclusions:
- Penile fracture is primarily a clinical diagnosis.
- Optimal management has evolved towards surgical intervention.
- Preoperative imaging should not impede timely surgical repair.
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