Varied presentation and surgical management of penile fracture in Abuja Nigeria
Abstract
Penile fracture is a true urologic emergency resulting from a tear in the tunica albuginea as a result of blunt trauma in an erect penis. Even though it is a well-recognized clinical problem, it is relatively uncommon because it is often under-reported due to its embarrassing nature. Penile rupture occurs when the engorged penile corpora buckles and literally “pops” under the pressure of blunt trauma. Diagnosis is mainly clinical and the mainstay of treatment is surgery regardless of delay in presentation. This review aims at reporting our experience in the surgical management of penile fractures in Abuja, North Central Nigeria. In the management of penile fractures, current guidelines recommend immediate surgical exploration and repair upon presentation. In the event of delayed presentation (>48 hours after injury), immediate repair even though associated with increased risk of long term sequelae is still advocated. Relief of pain, prevention of erectile dysfunction and achieving normal voiding are the goals of treatment. The type and location of the incision for repair is surgeon dependant, the most popular being the distal circumferential sub-coronal de-gloving incision popularized by McAninch et al. We found this technique very satisfactory with adequate exposure and cosmetic appeal in our practice.
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References
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