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Tri‐tubular penile fracture: A case of complete rupture of urethra and bilateral corpus cavernosa

INTRODUCTION: Tri‐tubular penile fracture is a very rare subset of penile fractures, typically due to high‐energy trauma to the erect penis. CASE PRESENTATION: A 26‐year‐old healthy man presents with a triad of audible crack, immediate detumescence, and hematoma formation, following blunt trauma sus...

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Autores principales: Young, Edward, Ashrafi, Akbar N, Kahokehr, Arman A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088889/
https://www.ncbi.nlm.nih.gov/pubmed/33977241
http://dx.doi.org/10.1002/iju5.12264
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author Young, Edward
Ashrafi, Akbar N
Kahokehr, Arman A
author_facet Young, Edward
Ashrafi, Akbar N
Kahokehr, Arman A
author_sort Young, Edward
collection PubMed
description INTRODUCTION: Tri‐tubular penile fracture is a very rare subset of penile fractures, typically due to high‐energy trauma to the erect penis. CASE PRESENTATION: A 26‐year‐old healthy man presents with a triad of audible crack, immediate detumescence, and hematoma formation, following blunt trauma sustained during vaginal sexual intercourse. A diagnosis of penile fracture is made, with intraoperative finding of a complete traumatic transection of the urethra with total bilateral corpus cavernosa disruption. Both corpora cavernosa were repaired using 2/0 polydioxanone sutures, with the dartos fascia placed in between. The urethra was repaired with interrupted 5/0 polyglactin braided absorbable suture. At 5 weeks, patient reported normal erections and sexual activity with no physical or psychological issues. The literature on management was reviewed. CONCLUSION: Current evidence of surgical management of tri‐tubular penile fractures remains predominantly expert opinion, due to difficulties of conducting prospective trials for a rare condition.
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spelling pubmed-80888892021-05-10 Tri‐tubular penile fracture: A case of complete rupture of urethra and bilateral corpus cavernosa Young, Edward Ashrafi, Akbar N Kahokehr, Arman A IJU Case Rep Case Reports INTRODUCTION: Tri‐tubular penile fracture is a very rare subset of penile fractures, typically due to high‐energy trauma to the erect penis. CASE PRESENTATION: A 26‐year‐old healthy man presents with a triad of audible crack, immediate detumescence, and hematoma formation, following blunt trauma sustained during vaginal sexual intercourse. A diagnosis of penile fracture is made, with intraoperative finding of a complete traumatic transection of the urethra with total bilateral corpus cavernosa disruption. Both corpora cavernosa were repaired using 2/0 polydioxanone sutures, with the dartos fascia placed in between. The urethra was repaired with interrupted 5/0 polyglactin braided absorbable suture. At 5 weeks, patient reported normal erections and sexual activity with no physical or psychological issues. The literature on management was reviewed. CONCLUSION: Current evidence of surgical management of tri‐tubular penile fractures remains predominantly expert opinion, due to difficulties of conducting prospective trials for a rare condition. John Wiley and Sons Inc. 2021-02-19 /pmc/articles/PMC8088889/ /pubmed/33977241 http://dx.doi.org/10.1002/iju5.12264 Text en © 2021 The Authors. IJU Case Reports published by John Wiley & Sons Australia, Ltd on behalf of the Japanese Urological Association https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Young, Edward
Ashrafi, Akbar N
Kahokehr, Arman A
Tri‐tubular penile fracture: A case of complete rupture of urethra and bilateral corpus cavernosa
title Tri‐tubular penile fracture: A case of complete rupture of urethra and bilateral corpus cavernosa
title_full Tri‐tubular penile fracture: A case of complete rupture of urethra and bilateral corpus cavernosa
title_fullStr Tri‐tubular penile fracture: A case of complete rupture of urethra and bilateral corpus cavernosa
title_full_unstemmed Tri‐tubular penile fracture: A case of complete rupture of urethra and bilateral corpus cavernosa
title_short Tri‐tubular penile fracture: A case of complete rupture of urethra and bilateral corpus cavernosa
title_sort tri‐tubular penile fracture: a case of complete rupture of urethra and bilateral corpus cavernosa
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8088889/
https://www.ncbi.nlm.nih.gov/pubmed/33977241
http://dx.doi.org/10.1002/iju5.12264
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