Penile fracture with associated urethral rupture
Nicholas A Boncher1, Gino J Vricella, Jason T Jankowski
1Department of Urology, University Hospitals - CASE Medical Center, Cleveland, OH 44106-4931, USA.
Case Reports in Medicine
|November 16, 2010
Summary
Penile fracture is a rare urological emergency requiring immediate surgery. This case highlights successful surgical repair of a penile fracture with urethral rupture, preventing long-term complications.
Area of Science:
- Urology
- Trauma Surgery
- Male Reproductive Health
Background:
- Penile fracture, a rupture of the tunica albuginea in the erect penis, is an uncommon urological emergency.
- Potential complications include erectile dysfunction, penile deformity (curvature), and urethral injury.
- Prompt surgical intervention is the standard treatment to minimize adverse outcomes.
Observation:
- A 42-year-old male patient presented with a penile fracture.
- The fracture was complicated by a concurrent urethral rupture.
- The patient underwent emergent surgical repair for both injuries.
Findings:
- Surgical repair successfully addressed the penile fracture and urethral rupture.
- The case underscores the importance of timely diagnosis and surgical management.
- Discussion focuses on the critical aspects of managing this specific trauma.
Implications:
- Effective surgical management can prevent long-term sequelae such as erectile dysfunction and penile curvature.
- This case emphasizes the necessity of a high index of suspicion for urethral injury in penile fracture cases.
- Optimal treatment strategies for complex penile fractures are crucial for patient recovery and sexual function.
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