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Penile fracture with two ipsilateral corporal tears and delayed presentation: A case report
Emad Rajih1, Abdullah Alenizi2, Assaad El-Hakim2
1Department of Urology, Taibah University, Madinah, Saudi Arabia;
Summary
Penile fracture, a urologic emergency, typically involves one tear. This case highlights a rare instance of two distinct tears in the same corpus cavernosum, emphasizing the need for thorough surgical assessment.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile fracture is a rare but serious urologic emergency.
- It involves rupture of the tunica albuginea due to blunt trauma.
- Typically, cases report a single tear, or contralateral tears.
Purpose of the Study:
- To report a unique case of penile fracture with two separate tears in the same corpus cavernosum.
- To emphasize the importance of high suspicion for concomitant ipsilateral tears during surgical exploration.
- To discuss the feasibility of delayed surgical repair in penile fracture cases.
Main Methods:
- Case report of a 56-year-old male with penile fracture.
- Intraoperative findings detailing two distinct tears within a single corpus cavernosum.
- Delayed surgical repair performed 7 days post-injury.
Main Results:
- Intraoperative visualization of two separate tears in the same corpus cavernosum.
- Successful surgical repair despite a 7-day delay from injury.
- Complete patient recovery with no reported complications.
Conclusions:
- A high index of suspicion is crucial to identify all tears, including ipsilateral ones, during penile fracture surgery.
- Delayed surgical repair of penile fractures can lead to successful outcomes.
- This case expands the understanding of penile fracture presentations and management.
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