A Double Tragedy of Coexisting Penile Fracture and Urethral Injury: A Case Report and Review of Literature
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Keywords
Albuginea, Injury, Penile Fracture, Tunica, Urethra
Abstract
Penile fracture coexisting with urethral injury is very rare.We present a 35-year-old businessman with complaints of penile pain and a popping sound during sexual intercourse. Examination revealed a deformed phallus consistent with eggplant deformity, blood at the tip of the meatus and suprapubic swelling. A diagnosis of penile fracture coexisting with urethral injury and acute urinary retention was made. Immediate surgical intervention revealed a 1.5 x 0.5cm ventral transection of the mid-bulbar urethral and the right corpus cavernosum. He subsequently had urine diversion via suprapubic cystostomy, repair of ruptured tunica albuginea covering the corpora and urethroplasty over a size 16-FR silicone urethral catheter. Patient did well postoperatively with normal urination two weeks postop following removal of urethral stent.Penile fracture coexisting with urethral injury is a rare but serious urological emergency. Prompt detection and surgical intervention are crucial for a successful outcome.
References
2. Gulmi FA. Penile Fracture. Rev Urol. 2018;20(1):412
3. El-Taher AM, Aboul-Ella HA, Sayed MA, Gaafar AA. Management of penile fracture. J Trauma. 2004;56(5):1138-40.
4. Kasaraneni, P., Mylarappa, P., Gowda, R.D., Puvvada, S., and Kasaraneni, D., 2019. Penile fracture with urethral injury: Our experience in a tertiary care hospital. Archivio Italiano Di Urologia E Andrologia, 90(4), pp.283–287. Available at: https://doi.org/10.4081/aiua.2018.4.283.
5. Sam, P. and LaGrange, C.A., 2023. Anatomy, abdomen and pelvis, penis. StatPearls. Available at: https://www.ncbi.nlm.nih.gov/books/NBK537123.
6. Falcone, M., Garaffa, G., Castiglione, F., and Ralph, D.J., 2018. Current Management of Penile Fracture: An Up-to-Date Systematic Review. Sexual Medicine Reviews, 6(2), pp.253-260. Available at: https://doi.org/10.1016/j.sxmr.2017.07.009.
7. Barros, R., Ribeiro, J.G.A., da Silva, H.A.M., de Sá, F.R., Fosse Júnior, A.M., and Favorito, L.A., 2020. Urethral injury in penile fracture: A narrative review. International Braz J Urol, 46(2), pp.152–157. Available at: https://doi.org/10.1590/S1677-5538.IBJU.2020.99.02.
8. Hatzichristodoulou, G., Dorstewitz, A., Gschwend, J.E., Herkommer, K., and Zantl, N., 2013. Surgical management of penile fracture and long-term outcome on erectile function and voiding. Journal of Sexual Medicine, 10, pp.1424-1430.
9. Nason, G.J., McGuire, B.B., Liddy, S., Looney, A., Lennon, G.M., Mulvin, D.W., et al., 2013. Sexual function outcomes following fracture of the penis. Canadian Urological Association Journal, 7, pp.252-257.
10. Barros, R., Schulze, L., Ornellas, A.A., Koifman, L., and Favorito, L.A., 2017. Relationship between sexual position and severity of penile fracture. International Journal of Impotence Research, 29, pp.207-209.
11. Zargooshi, J., 2009. Sexual function and tunica albuginea wound healing following penile fracture: An 18-year follow-up study of 352 patients from Kermanshah, Iran. Journal of Sexual Medicine, 6, pp.1141-1150.
12. Ge, G., Wang, H., Chen, Y., Li, G., and Ma, L., 2021. Complete urethral injury in the penile fracture: a case report and literature review. Translational Andrology and Urology, 10(2), pp.969-975. Available at: https://doi.org/10.21037/tau-20-1155.
13. Ofoha CG, Umana IP, Adewale AG. Fracture of the penis in Jos, Nigeria: review of cases in 2020. Int J Adv Med 2021;8:804-8.
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