Penile Fracture with Urethral Rupture: The Feasibility of Repair through Penoscrotal Approach
Brij Mohan Joshi1, Satish Kumar Ranjan1, Mayank Jain1
1Department of Urology, Robotic Surgery and Renal Transplantation, Max Superspeciality Hospital, New Delhi, India.
Journal of Emergencies, Trauma, and Shock
|November 10, 2022
Summary
Penile fracture with urethral injury is a rare emergency. A vertical penoscrotal incision offers excellent exposure for managing this condition, proving effective and avoiding degloving incision drawbacks.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile fracture with associated urethral injury is a rare urological emergency.
- It typically results from trauma to the erect penis during vigorous sexual intercourse.
- Common symptoms include penile swelling, discoloration, pain, and hematuria.
Observation:
- The conventional surgical approach involves a subcoronal penile degloving incision.
- This case describes the management of penile fracture-urethral injury using a vertical penoscrotal incision.
- The vertical penoscrotal approach provides superior exposure of the corpus cavernosum and urethra.
Findings:
- The vertical penoscrotal incision facilitated excellent surgical exposure.
- This approach led to successful outcomes in managing the complex penile fracture and urethral injury.
- The penoscrotal approach avoided the potential disadvantages associated with the degloving incision.
Implications:
- The vertical penoscrotal incision is a viable and effective alternative for managing penile fractures with urethral injuries.
- This technique may offer advantages over the traditional degloving incision.
- Further studies could explore the long-term outcomes and patient satisfaction with this approach.
