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Penile Fracture: A Case Report
Prajwala Yogi1, Shova Sapkota1, Samir Shiwakoti1
1Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.
JNMA; Journal of the Nepal Medical Association
|January 27, 2023
Summary
Penile fracture, a rare condition, occurs due to trauma during sexual activity. Prompt surgical repair is crucial for successful outcomes and preventing long-term complications.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Penile fracture is a rare urological emergency, affecting approximately 1 in 175,000 males in the United States.
- It typically results from a rupture of the tunica albuginea of the corpora cavernosa, often during vigorous sexual intercourse or masturbation.
Observation:
- Patients present with acute penile pain, swelling, and often a characteristic 'crackling' sound.
- Clinical diagnosis is usually sufficient, but ultrasound is the most reliable imaging modality for confirming penile fractures.
Findings:
- This case report details a 44-year-old male who sustained a penile fracture during sexual intercourse.
- The patient underwent prompt surgical exploration and repair of the tunica albuginea defect.
Implications:
- Timely surgical intervention is essential to prevent complications such as erectile dysfunction and penile curvature.
- This case underscores the importance of prompt diagnosis and management of penile fractures in clinical practice.
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