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A rare case report of tricorpora penile fracture associated with urethral disruption

Penile fracture is defined as a tear of tunica albuginea that covers the corpus cavernosum during an erection. It is a rare finding that both the corpora cavernosum and corpora spongiosum are involved in penile fracture. Herewith, we reported a rare case of 44 years old presented with penile fractur...

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Autores principales: Duarsa, Gede Wirya Kusuma, Yusuf, Muhlis, Kloping, Yudhistira Pradnyan, Rahman, Ilham Akbar, Soetojo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9403014/
https://www.ncbi.nlm.nih.gov/pubmed/35834925
http://dx.doi.org/10.1016/j.ijscr.2022.107351
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author Duarsa, Gede Wirya Kusuma
Yusuf, Muhlis
Kloping, Yudhistira Pradnyan
Rahman, Ilham Akbar
Soetojo
author_facet Duarsa, Gede Wirya Kusuma
Yusuf, Muhlis
Kloping, Yudhistira Pradnyan
Rahman, Ilham Akbar
Soetojo
author_sort Duarsa, Gede Wirya Kusuma
collection PubMed
description Penile fracture is defined as a tear of tunica albuginea that covers the corpus cavernosum during an erection. It is a rare finding that both the corpora cavernosum and corpora spongiosum are involved in penile fracture. Herewith, we reported a rare case of 44 years old presented with penile fracture during woman on top sex position with both corpora cavernosum and corpus spongiosum rupture with urethral disruption. On clinical examination, the penis was swollen, and there was a sudden loss of erection and ecchymosis. Cystoscopy examination revealed urethral rupture. Emergent surgical repair was then performed. During emergency surgery, we found a defect of 3 cm in bicorporal cavernosa with urethral and corpus spongiosum disruption. The penis was degloved, and debridement with water-tight suturing of tunica albuginea was performed to repair the tear in corpora cavernosa. End-to-end anastomosis urethroplasty with spatulation was also performed to repair the urethra. After 21 days following surgery, erectile function was good and no difficulties in voiding function as shown in uroflowmetry result with Qmax >15 mL/s. The patient had a favorable recovery. This was a rare case report, and with early and prompt surgical intervention, this case could result in a good outcome in preserving erectile function and voiding function.
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spelling pubmed-94030142022-08-26 A rare case report of tricorpora penile fracture associated with urethral disruption Duarsa, Gede Wirya Kusuma Yusuf, Muhlis Kloping, Yudhistira Pradnyan Rahman, Ilham Akbar Soetojo Int J Surg Case Rep Case Report Penile fracture is defined as a tear of tunica albuginea that covers the corpus cavernosum during an erection. It is a rare finding that both the corpora cavernosum and corpora spongiosum are involved in penile fracture. Herewith, we reported a rare case of 44 years old presented with penile fracture during woman on top sex position with both corpora cavernosum and corpus spongiosum rupture with urethral disruption. On clinical examination, the penis was swollen, and there was a sudden loss of erection and ecchymosis. Cystoscopy examination revealed urethral rupture. Emergent surgical repair was then performed. During emergency surgery, we found a defect of 3 cm in bicorporal cavernosa with urethral and corpus spongiosum disruption. The penis was degloved, and debridement with water-tight suturing of tunica albuginea was performed to repair the tear in corpora cavernosa. End-to-end anastomosis urethroplasty with spatulation was also performed to repair the urethra. After 21 days following surgery, erectile function was good and no difficulties in voiding function as shown in uroflowmetry result with Qmax >15 mL/s. The patient had a favorable recovery. This was a rare case report, and with early and prompt surgical intervention, this case could result in a good outcome in preserving erectile function and voiding function. Elsevier 2022-06-25 /pmc/articles/PMC9403014/ /pubmed/35834925 http://dx.doi.org/10.1016/j.ijscr.2022.107351 Text en © 2022 The Authors https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Case Report
Duarsa, Gede Wirya Kusuma
Yusuf, Muhlis
Kloping, Yudhistira Pradnyan
Rahman, Ilham Akbar
Soetojo
A rare case report of tricorpora penile fracture associated with urethral disruption
title A rare case report of tricorpora penile fracture associated with urethral disruption
title_full A rare case report of tricorpora penile fracture associated with urethral disruption
title_fullStr A rare case report of tricorpora penile fracture associated with urethral disruption
title_full_unstemmed A rare case report of tricorpora penile fracture associated with urethral disruption
title_short A rare case report of tricorpora penile fracture associated with urethral disruption
title_sort rare case report of tricorpora penile fracture associated with urethral disruption
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9403014/
https://www.ncbi.nlm.nih.gov/pubmed/35834925
http://dx.doi.org/10.1016/j.ijscr.2022.107351
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