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Case Reports
. 2023 Sep:110:108749.
doi: 10.1016/j.ijscr.2023.108749. Epub 2023 Sep 1.

Penile fracture: A case report

Muhammad Imran  1 , Ateeba Kamran  2 , Aiman Tanveer  1 , Mohamad Ali Farho  3
Affiliations
Case Reports

Penile fracture: A case report

Muhammad Imran et al. Int J Surg Case Rep. 2023 Sep.

Abstract

Introduction and importance: Penile fracture, resulting from trauma to an erect penis, is a rare urogenital injury with potentially serious complications including erectile dysfunction. This case report emphasizes the significance of prompt recognition, accurate diagnosis, and timely surgical management to optimize patient outcomes.

Case presentation: The case involves a 34-year-old male presenting with acute pain, swelling, and a visibly deformed penis following sexual intercourse. Clinical examination confirmed the diagnosis of penile fracture, leading to surgical repair of the tunica albuginea. The patient had an uneventful post-operative recovery and received appropriate post-operative instructions.

Clinical discussion: A penile fracture is a rare but serious injury occurs due to a tear in the tunica albuginea that can occur during vigorous sexual activity causing sudden pain, swelling, and produce a popping sound. Classical presentation often leads to establish a clinical diagnosis. However, immediate surgical exploration and repair is needed for better outcomes and to prevent long term complications such as erectile dysfunction or curvature of the penis that are associated with relying solely on conservative management. Delayed presentation also affects the optimal outcomes of surgery.

Conclusion: This report highlights the importance of early surgical intervention, the impact of delayed presentation, and the need for increased awareness regarding penile fractures. This case adds to the existing surgical literature by providing insights into the clinical presentation and management of penile fractures. The comprehensive overview of the case contributes to a better understanding of penile fractures and their management, helping healthcare professionals, improves patient care and outcomes.

Keywords: Case report; Clinical presentation; Management; Penile fracture.

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Conflict of interest statement

Declaration of competing interest No conflicts of interest.

Figures

Fig. 1
Fig. 1
A pre-operative picture showing a swollen and deformed penis.
Fig. 2
Fig. 2
(a) Penile surgical exploration showing defect in the inferolateral tunica albugenia. (b) Defect repaired with prolene sutures (c) Immediate post-operative penis.
See this image and copyright information in PMC

References

    1. Diaz K.C., Cronovich H. StatPearls [Internet] StatPearls Publishing; Treasure Island (FL): 2022. Penis fracture. [Updated 2022 Jul 29]https://www.ncbi.nlm.nih.gov/books/NBK551618/ Jan. Available from: - PubMed
    1. Zargooshi J. Sexual function and tunica albuginea wound healing following penile fracture: an 18-year follow-up study of 352 patients from Kermanshah, Iran. J. Sex. Med. 2009;6:1141–1150. - PubMed
    1. Mydlo J.H. Surgeon experience with penile fracture. J. Urol. 2001;166:526–528. (Discussion 8–9.) - PubMed
    1. Ateyah A., Mostafa T., Nasser T.A., Shaeer O., Hadi A.A., Al-Gabbar M.A. Penile fracture: surgical repair and late effects on erectile function. J. Sex. Med. 2008;5:1496–1502. - PubMed
    1. Beilan J.A., Wallen J.J., Baumgarten A.S., Morgan K.N., Parker J.L., Carrion R.E. Intralesional injection of collagenase Clostridium histolyticum may increase the risk of late-onset penile fracture. Sex. Med. Rev. 2018;6:272–278. - PubMed

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