Cargando…
Severe penile fracture with bilateral corpus cavernosum rupture, complete urethral rupture and scrotal haematoma associated with sexual intercourse: A case report
INTRODUCTION AND IMPORTANCE: Despite the fact that a penile fracture is a rare emergency, it can cause morbidity in the patient, especially in terms of sexual life. If cases are not properly managed, irregularities in the penis will emerge, leading to more complicated problems. We present a case rep...
Autores principales: | , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284044/ https://www.ncbi.nlm.nih.gov/pubmed/35780647 http://dx.doi.org/10.1016/j.ijscr.2022.107377 |
_version_ | 1784747468625281024 |
---|---|
author | Wiratama, Made Adi Djatisoesanto, Wahjoe Hakim, Lukman |
author_facet | Wiratama, Made Adi Djatisoesanto, Wahjoe Hakim, Lukman |
author_sort | Wiratama, Made Adi |
collection | PubMed |
description | INTRODUCTION AND IMPORTANCE: Despite the fact that a penile fracture is a rare emergency, it can cause morbidity in the patient, especially in terms of sexual life. If cases are not properly managed, irregularities in the penis will emerge, leading to more complicated problems. We present a case report of severe penile fracture associated with sexual intercourse. CASE PRESENTATION: A 50-year-old man complained of soreness in his penis during sexual intercourse. The patient also has urethrorrhagia and is unable to urinate. Physical examination reveals the “Eggplant Deformity” in the penis. The operation was carried out and revealed bilateral corpus cavernosum rupture, complete urethral rupture, and ruptured Buck's fascia. The corpus cavernosum and other structures were repaired primarily, followed by an end-to-end anastomosis of the urethra. Four months later, the patient had no serious complaints, only a minor penis deviation. He can easily void and having intercourse. CLINICAL DISCUSSION: In most situations, the penile fracture can be determined nearly entirely based on the patient's medical history and physical examination. In dubious circumstances, further tests such as ultrasonography and MRI can be conducted. If a penile fracture is discovered, surgery should be undertaken. Ruptures of the corpus cavernosum, tunica albuginea and Buck's fascia can be sutured primarily. The urethral can be reconstructed using an end-to-end anastomosis. Scrotal haematomas should be evacuated and drained to prevent persistent scrotal haematomas. CONCLUSION: Immediate surgery in cases of severe penile fracture provides good outcomes for erectile function, micturition and sexual intercourse with minimal complications. |
format | Online Article Text |
id | pubmed-9284044 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-92840442022-07-16 Severe penile fracture with bilateral corpus cavernosum rupture, complete urethral rupture and scrotal haematoma associated with sexual intercourse: A case report Wiratama, Made Adi Djatisoesanto, Wahjoe Hakim, Lukman Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Despite the fact that a penile fracture is a rare emergency, it can cause morbidity in the patient, especially in terms of sexual life. If cases are not properly managed, irregularities in the penis will emerge, leading to more complicated problems. We present a case report of severe penile fracture associated with sexual intercourse. CASE PRESENTATION: A 50-year-old man complained of soreness in his penis during sexual intercourse. The patient also has urethrorrhagia and is unable to urinate. Physical examination reveals the “Eggplant Deformity” in the penis. The operation was carried out and revealed bilateral corpus cavernosum rupture, complete urethral rupture, and ruptured Buck's fascia. The corpus cavernosum and other structures were repaired primarily, followed by an end-to-end anastomosis of the urethra. Four months later, the patient had no serious complaints, only a minor penis deviation. He can easily void and having intercourse. CLINICAL DISCUSSION: In most situations, the penile fracture can be determined nearly entirely based on the patient's medical history and physical examination. In dubious circumstances, further tests such as ultrasonography and MRI can be conducted. If a penile fracture is discovered, surgery should be undertaken. Ruptures of the corpus cavernosum, tunica albuginea and Buck's fascia can be sutured primarily. The urethral can be reconstructed using an end-to-end anastomosis. Scrotal haematomas should be evacuated and drained to prevent persistent scrotal haematomas. CONCLUSION: Immediate surgery in cases of severe penile fracture provides good outcomes for erectile function, micturition and sexual intercourse with minimal complications. Elsevier 2022-06-30 /pmc/articles/PMC9284044/ /pubmed/35780647 http://dx.doi.org/10.1016/j.ijscr.2022.107377 Text en © 2022 Published by Elsevier Ltd on behalf of IJS Publishing Group Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Case Report Wiratama, Made Adi Djatisoesanto, Wahjoe Hakim, Lukman Severe penile fracture with bilateral corpus cavernosum rupture, complete urethral rupture and scrotal haematoma associated with sexual intercourse: A case report |
title | Severe penile fracture with bilateral corpus cavernosum rupture, complete urethral rupture and scrotal haematoma associated with sexual intercourse: A case report |
title_full | Severe penile fracture with bilateral corpus cavernosum rupture, complete urethral rupture and scrotal haematoma associated with sexual intercourse: A case report |
title_fullStr | Severe penile fracture with bilateral corpus cavernosum rupture, complete urethral rupture and scrotal haematoma associated with sexual intercourse: A case report |
title_full_unstemmed | Severe penile fracture with bilateral corpus cavernosum rupture, complete urethral rupture and scrotal haematoma associated with sexual intercourse: A case report |
title_short | Severe penile fracture with bilateral corpus cavernosum rupture, complete urethral rupture and scrotal haematoma associated with sexual intercourse: A case report |
title_sort | severe penile fracture with bilateral corpus cavernosum rupture, complete urethral rupture and scrotal haematoma associated with sexual intercourse: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9284044/ https://www.ncbi.nlm.nih.gov/pubmed/35780647 http://dx.doi.org/10.1016/j.ijscr.2022.107377 |
work_keys_str_mv | AT wiratamamadeadi severepenilefracturewithbilateralcorpuscavernosumrupturecompleteurethralruptureandscrotalhaematomaassociatedwithsexualintercourseacasereport AT djatisoesantowahjoe severepenilefracturewithbilateralcorpuscavernosumrupturecompleteurethralruptureandscrotalhaematomaassociatedwithsexualintercourseacasereport AT hakimlukman severepenilefracturewithbilateralcorpuscavernosumrupturecompleteurethralruptureandscrotalhaematomaassociatedwithsexualintercourseacasereport |