Fracture penis in a male in the seventh decade of life in a pandemic setting
Abstract
Penile fracture is considered a urological emergency caused due to direct trauma to an erect penis. Fracture penis is usually encountered in a young patient and is exceeding uncommon in a patent in the seventh decade of life. The mechanism of injury depends on socio-cultural habits. Diagnosis is mostly made by clinical assessment but at times ultrasonography or MRI may be resorted to establishing a diagnosis. There is no role for conservative treatment in this condition and prompt surgical management remains the mainstay of treatment irrespective of age and ensures near-normal erectile function thereafter.
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References
McDougal WS, Wein AJ, Kavoussi LR, et al. Campbell-Walsh Urology 10th Edition Review: Elsevier Health Sciences; 2016.
Falcone M, Garaffa G, Castiglione F, et al Current management of penile fracture: an up-to-date systematic review. Sex Med Rev 2018;6:253–60.
Lee SH, Bak CW, Choi MH, et al. Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery. BJU Int 2008;101:211-5.
Rivas JG, Dorrego JM, Hernández MM, et al. Traumatic rupture of the corpus cavernosum: surgical management and clinical outcomes. A 30 years review. Cent European J Urol 2014;67:88-92.
Thompson RF. Rupture (fracture) of the penis. J Urol 1954;71:226-9.
Uygur MC, Gülerkaya B, Altuğ U, et al. 13 years' experience of penile fracture. Scand J Urol Nephrol 1997;31:265-6.
Lee SH, Bak CW, Choi MH, et al. Trauma to male genital organs: a 10-year review of 156 patients, including 118 treated by surgery. BJU Int 2008;101:211-5.
Kati B, Akin Y, Demir M, Boran OF, Gumus K, Ciftci H. Penile fracture and investigation of early surgical repair effects on erectile dysfunction. Urologia. 2019 Nov;86(4):207-210.
Muentener M, Suter S, Hauri D, Sulser T. Long-term experience with surgical and conservative treatment of penile fracture. J Urol. 2004;172:576–579.
Eke N. Fracture of the penis. Br J Surg. 2002; 89:555-565
Feki W, Derouiche A, Belhaj K, Ouni A, Ben Mouelhi S, Ben Slama MR, et al. False penile fracture: report of 16 cases. Int J Impot Res. 2007;19:471–473.
Armenakas NA, Hochberg DA, Fracchia JA. Traumatic avulsion of the dorsal penile artery mimicking a penile fracture. J Urol. 2001;166:619.
Bar-Yosef Y, Greenstein A, Beri A, Lidawi G, Matzkin H, Chen J. Dorsal vein injuries observed during penile exploration for suspected penile fracture. J Sex Med. 2007;4:1142–1146.
Karadeniz T, Topsakal M, Ariman A, Erton H, Basak D. Penile fracture: differential diagnosis, management and outcome. Br J Urol. 1996;77:279–281.
