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Penile fracture: diagnosis and management
The Journal of Trauma
|November 1, 1985
Summary
Corpus cavernosum rupture, a rare penile fracture from blunt trauma, requires careful management. Corpus cavernosography is key to identifying tunica albuginea tears, guiding conservative or operative treatment decisions.
Area of Science:
- Urology
- Trauma Surgery
- Medical Imaging
Background:
- Corpus cavernosum rupture, or penile fracture, is a rare injury resulting from blunt penile trauma.
- Existing literature presents limited case reports and ongoing debate regarding optimal initial management strategies, contrasting conservative versus surgical approaches.
Purpose of the Study:
- To evaluate the efficacy of corpus cavernosography in differentiating management pathways for penile fractures.
- To establish clear guidelines for the treatment of corpus cavernosum rupture based on diagnostic imaging findings.
Main Methods:
- Retrospective review of 17 cases of corpus cavernosum rupture.
- Corpus cavernosography was utilized to assess the integrity of the tunica albuginea and identify rents.
- Management decisions were correlated with the presence or absence of a tunica albuginea tear.
Main Results:
- Corpus cavernosography effectively demonstrated the presence or absence of a tunica albuginea rent.
- Cases without a demonstrable rent were successfully managed conservatively.
- Cases with a confirmed tunica albuginea rent showed optimal outcomes with operative intervention.
Conclusions:
- Corpus cavernosography is a crucial diagnostic tool in managing penile fractures.
- The presence of a tunica albuginea rent dictates the choice between conservative and operative treatment for corpus cavernosum rupture.
- This study supports operative management as the preferred treatment for penile fractures with demonstrable tunica albuginea defects.