PENILE FRACTURE; ETIOLOGY AND MANAGEMENT

ABSTRACT Introduction: Penile fracture is a rare urological emergency that occurs almost exclusively due to blunt trauma on erect penis. Trauma causes tear in tunica albugenia. The diagnosis is straight forward and based on classical history of snap sound, pain, detumescence, swelling and deformity....

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Main Authors: Muhammad Akram Malik, M. Tahir Bashir
Format: Article
Language:English
Published: University of Faisalabad 2020-02-01
Series:Journal of University Medical & Dental College
Subjects:
Online Access:http://jumdc.com/index.php/jumdc/article/view/375
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author Muhammad Akram Malik
M. Tahir Bashir
author_facet Muhammad Akram Malik
M. Tahir Bashir
author_sort Muhammad Akram Malik
collection DOAJ
description ABSTRACT Introduction: Penile fracture is a rare urological emergency that occurs almost exclusively due to blunt trauma on erect penis. Trauma causes tear in tunica albugenia. The diagnosis is straight forward and based on classical history of snap sound, pain, detumescence, swelling and deformity. Early surgical intervention gives good cosmetic and functional outcome. Material and Methods: This retrospective study was conducted between Jan 2001 to Dec 2010. Patients presented with penile fracture were included in the study. All patients were managed by sub-coronal incision and repair of tunica albugenia tear with prolin (Polypropylene) 3/0. Results: Thirteen patient of penile fracture with age range of 17-48 years (mean=34 years) presented to us. Ninety two percent of patients were below 40 years. Eighty four percent suffered injury during coitus. Almost all patients experienced cracking sound followed by pain, swelling, detumescence and deformity. Interval between trauma and presentation varied from 06 hours to 14 days (mean=60 hours). Twelve patients were managed surgically and 01 managed conservatively. Painful coitus was the only complication reported. Majority of patients (53.84%) experience successful intercourse with in 04 weeks. None of the patients reported impotence. Conclusion: Penile fracture is a rare urological emergency which requires early surgical intervention for better outcome and minimal rate of complications.
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spelling doaj.art-192c776c1efb401d9d00173e8bb5c3be2022-12-22T01:44:47ZengUniversity of FaisalabadJournal of University Medical & Dental College2221-78272310-55422020-02-0122PENILE FRACTURE; ETIOLOGY AND MANAGEMENTMuhammad Akram Malik0M. Tahir Bashir1Associate Professor, Urology, University Medical Dental College, FaisalabadSenior Registrar, Utology, Allied Hospital, FaisalabadABSTRACT Introduction: Penile fracture is a rare urological emergency that occurs almost exclusively due to blunt trauma on erect penis. Trauma causes tear in tunica albugenia. The diagnosis is straight forward and based on classical history of snap sound, pain, detumescence, swelling and deformity. Early surgical intervention gives good cosmetic and functional outcome. Material and Methods: This retrospective study was conducted between Jan 2001 to Dec 2010. Patients presented with penile fracture were included in the study. All patients were managed by sub-coronal incision and repair of tunica albugenia tear with prolin (Polypropylene) 3/0. Results: Thirteen patient of penile fracture with age range of 17-48 years (mean=34 years) presented to us. Ninety two percent of patients were below 40 years. Eighty four percent suffered injury during coitus. Almost all patients experienced cracking sound followed by pain, swelling, detumescence and deformity. Interval between trauma and presentation varied from 06 hours to 14 days (mean=60 hours). Twelve patients were managed surgically and 01 managed conservatively. Painful coitus was the only complication reported. Majority of patients (53.84%) experience successful intercourse with in 04 weeks. None of the patients reported impotence. Conclusion: Penile fracture is a rare urological emergency which requires early surgical intervention for better outcome and minimal rate of complications.http://jumdc.com/index.php/jumdc/article/view/375Penile fractureCorpus cavernosumTunica albugeniaPenile trauma
spellingShingle Muhammad Akram Malik
M. Tahir Bashir
PENILE FRACTURE; ETIOLOGY AND MANAGEMENT
Journal of University Medical & Dental College
Penile fracture
Corpus cavernosum
Tunica albugenia
Penile trauma
title PENILE FRACTURE; ETIOLOGY AND MANAGEMENT
title_full PENILE FRACTURE; ETIOLOGY AND MANAGEMENT
title_fullStr PENILE FRACTURE; ETIOLOGY AND MANAGEMENT
title_full_unstemmed PENILE FRACTURE; ETIOLOGY AND MANAGEMENT
title_short PENILE FRACTURE; ETIOLOGY AND MANAGEMENT
title_sort penile fracture etiology and management
topic Penile fracture
Corpus cavernosum
Tunica albugenia
Penile trauma
url http://jumdc.com/index.php/jumdc/article/view/375
work_keys_str_mv AT muhammadakrammalik penilefractureetiologyandmanagement
AT mtahirbashir penilefractureetiologyandmanagement