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Complete urethral injury in the penile fracture: a case report and literature review

Penile fracture is described as a traumatic rupture of the tunica albuginea caused by blunt injury to the erect penis. It usually occurs as a single rupture of the tunica albuginea in one of two corpora cavernosa; a rupture with urethral injury is an extremely rare condition. Although its diagnosis...

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Autores principales: Ge, Guangju, Wang, Huan, Chen, Yuanlei, Li, Gonghui, Ma, Liang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7947453/
https://www.ncbi.nlm.nih.gov/pubmed/33718097
http://dx.doi.org/10.21037/tau-20-1155
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author Ge, Guangju
Wang, Huan
Chen, Yuanlei
Li, Gonghui
Ma, Liang
author_facet Ge, Guangju
Wang, Huan
Chen, Yuanlei
Li, Gonghui
Ma, Liang
author_sort Ge, Guangju
collection PubMed
description Penile fracture is described as a traumatic rupture of the tunica albuginea caused by blunt injury to the erect penis. It usually occurs as a single rupture of the tunica albuginea in one of two corpora cavernosa; a rupture with urethral injury is an extremely rare condition. Although its diagnosis is usually clinical, ultrasound plays an important role in confirming diagnosis and identifying the site of the injury. Here, we presented a case of penile fracture with complete urethral injury. A 43-year-old male was admitted to the hospital because of trauma to the genital and dysuria following sexual intercourse. After admission, the patient was diagnosed with double penile fracture and complete urethral injury after the physical and B-ultrasound examinations. Emergency surgery to remove the hematoma and repair the urethra was performed. The patient recovered smoothly and was discharged on the third day after operation. After two months’ follow-up, the patient urinated smoothly and achieved an adequate erection without other complications. In this case, consistent with previous studies, emergency surgery for penile fracture is necessary and can preserve the urethral function and sexual function. In addition, there are two lesions in tunica albuginea in this case, so careful search for the penile shaft during the surgery is important to avoid the missed injuries. This report provides evidence of an uncommon and underreported clinical case.
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spelling pubmed-79474532021-03-12 Complete urethral injury in the penile fracture: a case report and literature review Ge, Guangju Wang, Huan Chen, Yuanlei Li, Gonghui Ma, Liang Transl Androl Urol Case Report Penile fracture is described as a traumatic rupture of the tunica albuginea caused by blunt injury to the erect penis. It usually occurs as a single rupture of the tunica albuginea in one of two corpora cavernosa; a rupture with urethral injury is an extremely rare condition. Although its diagnosis is usually clinical, ultrasound plays an important role in confirming diagnosis and identifying the site of the injury. Here, we presented a case of penile fracture with complete urethral injury. A 43-year-old male was admitted to the hospital because of trauma to the genital and dysuria following sexual intercourse. After admission, the patient was diagnosed with double penile fracture and complete urethral injury after the physical and B-ultrasound examinations. Emergency surgery to remove the hematoma and repair the urethra was performed. The patient recovered smoothly and was discharged on the third day after operation. After two months’ follow-up, the patient urinated smoothly and achieved an adequate erection without other complications. In this case, consistent with previous studies, emergency surgery for penile fracture is necessary and can preserve the urethral function and sexual function. In addition, there are two lesions in tunica albuginea in this case, so careful search for the penile shaft during the surgery is important to avoid the missed injuries. This report provides evidence of an uncommon and underreported clinical case. AME Publishing Company 2021-02 /pmc/articles/PMC7947453/ /pubmed/33718097 http://dx.doi.org/10.21037/tau-20-1155 Text en 2021 Translational Andrology and Urology. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Case Report
Ge, Guangju
Wang, Huan
Chen, Yuanlei
Li, Gonghui
Ma, Liang
Complete urethral injury in the penile fracture: a case report and literature review
title Complete urethral injury in the penile fracture: a case report and literature review
title_full Complete urethral injury in the penile fracture: a case report and literature review
title_fullStr Complete urethral injury in the penile fracture: a case report and literature review
title_full_unstemmed Complete urethral injury in the penile fracture: a case report and literature review
title_short Complete urethral injury in the penile fracture: a case report and literature review
title_sort complete urethral injury in the penile fracture: a case report and literature review
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7947453/
https://www.ncbi.nlm.nih.gov/pubmed/33718097
http://dx.doi.org/10.21037/tau-20-1155
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