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Related Experiment Videos

Penile rupture.

B R Orvis1, J W McAninch

  • 1Department of Urology, University of California School of Medicine, San Francisco.

The Urologic Clinics of North America
|May 1, 1989
PubMed
Summary
This summary is machine-generated.

Rupture of the corpus cavernosum, a rare penile injury, often involves urethral damage. Early surgical repair of the tunica defect minimizes complications and speeds recovery.

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Area of Science:

  • Urology
  • Trauma Surgery

Background:

  • Rupture of the corpus cavernosum is a rare but serious penile injury.
  • Associated urethral injury occurs in 10-20% of cases, requiring careful diagnosis.

Purpose of the Study:

  • To review the diagnosis and management of corpus cavernosum and associated urethral injuries.
  • To highlight optimal treatment strategies for minimizing long-term morbidity.

Main Methods:

  • Literature review of corpus cavernosum and urethral injuries.
  • Analysis of diagnostic indicators like blood at the meatus and hematuria.
  • Evaluation of treatment outcomes for surgical versus conservative approaches.

Main Results:

  • Characteristic history and physical findings aid diagnosis.

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  • Retrograde urethrography is indicated for suspected urethral injury.
  • Early surgical repair of tunical defects reduces penile angulation and hospital stay.

    • Conclusions:

    • Prompt diagnosis and appropriate management are crucial for corpus cavernosum and urethral injuries.
    • Early surgical intervention for tunical defects and primary repair for complete urethral disruption lead to better outcomes.
    • Conservative management may be suitable for minimal hematomas without extravasation.