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Penile Fracture with Urethral Rupture: The Feasibility of Repair through Penoscrotal Approach

Penile fracture with an associated urethral injury is a rare urological emergency resulting from trauma to the erect penis during vigorous sexual intercourse. The patient often presents with swelling of the penis, discoloration of the penile skin, localized pain, and hematuria with a typical history...

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Autores principales: Joshi, Brij Mohan, Ranjan, Satish Kumar, Jain, Mayank, Kumar, Anant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639730/
https://www.ncbi.nlm.nih.gov/pubmed/36353400
http://dx.doi.org/10.4103/jets.jets_154_21
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author Joshi, Brij Mohan
Ranjan, Satish Kumar
Jain, Mayank
Kumar, Anant
author_facet Joshi, Brij Mohan
Ranjan, Satish Kumar
Jain, Mayank
Kumar, Anant
author_sort Joshi, Brij Mohan
collection PubMed
description Penile fracture with an associated urethral injury is a rare urological emergency resulting from trauma to the erect penis during vigorous sexual intercourse. The patient often presents with swelling of the penis, discoloration of the penile skin, localized pain, and hematuria with a typical history of sudden detumescence during intercourse. Subcoronal penile degloving incision has been conventionally described and is frequently used by many clinicians for the management of penile fracture-urethral injury. Here, we describe a case of complex penile fracture managed through the vertical penoscrotal incision. The penoscrotal approach confers excellent exposure to both the ruptured corpus cavernosum and urethra. This approach ensures successful outcomes in such an emergency procedure without having disadvantages of the degloving incision.
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spelling pubmed-96397302022-11-08 Penile Fracture with Urethral Rupture: The Feasibility of Repair through Penoscrotal Approach Joshi, Brij Mohan Ranjan, Satish Kumar Jain, Mayank Kumar, Anant J Emerg Trauma Shock Case Report Penile fracture with an associated urethral injury is a rare urological emergency resulting from trauma to the erect penis during vigorous sexual intercourse. The patient often presents with swelling of the penis, discoloration of the penile skin, localized pain, and hematuria with a typical history of sudden detumescence during intercourse. Subcoronal penile degloving incision has been conventionally described and is frequently used by many clinicians for the management of penile fracture-urethral injury. Here, we describe a case of complex penile fracture managed through the vertical penoscrotal incision. The penoscrotal approach confers excellent exposure to both the ruptured corpus cavernosum and urethra. This approach ensures successful outcomes in such an emergency procedure without having disadvantages of the degloving incision. Wolters Kluwer - Medknow 2022 2022-09-28 /pmc/articles/PMC9639730/ /pubmed/36353400 http://dx.doi.org/10.4103/jets.jets_154_21 Text en Copyright: © 2022 Journal of Emergencies, Trauma, and Shock 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
Joshi, Brij Mohan
Ranjan, Satish Kumar
Jain, Mayank
Kumar, Anant
Penile Fracture with Urethral Rupture: The Feasibility of Repair through Penoscrotal Approach
title Penile Fracture with Urethral Rupture: The Feasibility of Repair through Penoscrotal Approach
title_full Penile Fracture with Urethral Rupture: The Feasibility of Repair through Penoscrotal Approach
title_fullStr Penile Fracture with Urethral Rupture: The Feasibility of Repair through Penoscrotal Approach
title_full_unstemmed Penile Fracture with Urethral Rupture: The Feasibility of Repair through Penoscrotal Approach
title_short Penile Fracture with Urethral Rupture: The Feasibility of Repair through Penoscrotal Approach
title_sort penile fracture with urethral rupture: the feasibility of repair through penoscrotal approach
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639730/
https://www.ncbi.nlm.nih.gov/pubmed/36353400
http://dx.doi.org/10.4103/jets.jets_154_21
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