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Penile Fracture with Complete Urethral Rupture and Urine Extravasation: A Case Report

Penile fracture is a rare traumatic injury of an erect phallus involving mainly the tissues responsible for penile erection, corpora cavernosa, and penile sheath, which occur commonly, but not solely during vigorous sexual intercourse. Here, we present a 34-year-old man who presented with a 5-h hist...

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Autores principales: Makama, Baje Salihu, Haruna, Liman, Stephen, Yusuf, Aminu, Umar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9380785/
https://www.ncbi.nlm.nih.gov/pubmed/35983255
http://dx.doi.org/10.4103/jwas.jwas_18_22
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author Makama, Baje Salihu
Haruna, Liman
Stephen, Yusuf
Aminu, Umar
author_facet Makama, Baje Salihu
Haruna, Liman
Stephen, Yusuf
Aminu, Umar
author_sort Makama, Baje Salihu
collection PubMed
description Penile fracture is a rare traumatic injury of an erect phallus involving mainly the tissues responsible for penile erection, corpora cavernosa, and penile sheath, which occur commonly, but not solely during vigorous sexual intercourse. Here, we present a 34-year-old man who presented with a 5-h history of snapping sound heard during sexual intercourse with subsequent loss of tumescence, swelling of the phallus, and assumption of abnormal contour, scrotal swelling, and lower anterior abdominal swelling. On examination, the patient was in severe painful distress with swelling around the external genitalia and lower abdomen and dorsolateral penile angulation with marked tenderness. The diagnosis of penile fracture was made; intraoperatively, there was a complete rupture of both corpora cavernosa and corpus spongiosum, complete disruption of the urethra, and buck’s fascia tear causing haematoma and urine extravasation into the scrotum and anterior abdominal wall. The patient had haematoma evacuation, corpora repair, and urethroplasty done, did well, and has been on follow-up for 2 years with good erectile and voiding functions.
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spelling pubmed-93807852022-08-17 Penile Fracture with Complete Urethral Rupture and Urine Extravasation: A Case Report Makama, Baje Salihu Haruna, Liman Stephen, Yusuf Aminu, Umar J West Afr Coll Surg Case Report Penile fracture is a rare traumatic injury of an erect phallus involving mainly the tissues responsible for penile erection, corpora cavernosa, and penile sheath, which occur commonly, but not solely during vigorous sexual intercourse. Here, we present a 34-year-old man who presented with a 5-h history of snapping sound heard during sexual intercourse with subsequent loss of tumescence, swelling of the phallus, and assumption of abnormal contour, scrotal swelling, and lower anterior abdominal swelling. On examination, the patient was in severe painful distress with swelling around the external genitalia and lower abdomen and dorsolateral penile angulation with marked tenderness. The diagnosis of penile fracture was made; intraoperatively, there was a complete rupture of both corpora cavernosa and corpus spongiosum, complete disruption of the urethra, and buck’s fascia tear causing haematoma and urine extravasation into the scrotum and anterior abdominal wall. The patient had haematoma evacuation, corpora repair, and urethroplasty done, did well, and has been on follow-up for 2 years with good erectile and voiding functions. Wolters Kluwer - Medknow 2021 2022-07-12 /pmc/articles/PMC9380785/ /pubmed/35983255 http://dx.doi.org/10.4103/jwas.jwas_18_22 Text en Copyright: © 2022 Journal of the West African College of Surgeons https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Case Report
Makama, Baje Salihu
Haruna, Liman
Stephen, Yusuf
Aminu, Umar
Penile Fracture with Complete Urethral Rupture and Urine Extravasation: A Case Report
title Penile Fracture with Complete Urethral Rupture and Urine Extravasation: A Case Report
title_full Penile Fracture with Complete Urethral Rupture and Urine Extravasation: A Case Report
title_fullStr Penile Fracture with Complete Urethral Rupture and Urine Extravasation: A Case Report
title_full_unstemmed Penile Fracture with Complete Urethral Rupture and Urine Extravasation: A Case Report
title_short Penile Fracture with Complete Urethral Rupture and Urine Extravasation: A Case Report
title_sort penile fracture with complete urethral rupture and urine extravasation: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9380785/
https://www.ncbi.nlm.nih.gov/pubmed/35983255
http://dx.doi.org/10.4103/jwas.jwas_18_22
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