Penile fracture in a Peyronie’s disease patient: a case report
Abstract Background Penile curvature in men with Peyronie’s disease (PD)—caused by tunica anchoring plaques with loss of focal fiber elasticity—theoretically increases the risk of penile fracture during sexual activity. Penile fracture is the result of tearing of the tunica albuginea of one or both...
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| Format: | Article |
| Language: | English |
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SpringerOpen
2020-10-01
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| Series: | African Journal of Urology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12301-020-00054-5 |
| _version_ | 1818242327158718464 |
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| author | Nur Hidayatullah Khoirul Kholis Muhammad Asykar Palinrungi Syakri Syahrir Syarif Syarif Muhammad Faruk |
| author_facet | Nur Hidayatullah Khoirul Kholis Muhammad Asykar Palinrungi Syakri Syahrir Syarif Syarif Muhammad Faruk |
| author_sort | Nur Hidayatullah |
| collection | DOAJ |
| description | Abstract Background Penile curvature in men with Peyronie’s disease (PD)—caused by tunica anchoring plaques with loss of focal fiber elasticity—theoretically increases the risk of penile fracture during sexual activity. Penile fracture is the result of tearing of the tunica albuginea of one or both corpora cavernosa, usually during sexual intercourse, and is among the most serious urological emergencies. Generally, a patient presented to a surgical emergency within 48 h of injury can be handled successfully with minimum complications. Immediate surgical treatment is the current standard of care and has a relatively low risk of late complications. Case presentation We present a case of penile fracture in a male with a history of PD referred to the emergency department with severe pain. Clinical history assessment and physical examination revealed a penile fracture with underlying PD. He underwent emergency surgical exploration via subcoronal incision. Penile plication was not necessary for our case because the angulation of the penis was less than 15° after examination of artificial erection. Conclusion Penile fracture in a patient with underlying PD is a rare urological emergency that should be treated surgically with fracture repair as early as possible. Penile plication might be necessary in severe cases (angulation > 60°). |
| first_indexed | 2024-12-12T13:43:28Z |
| format | Article |
| id | doaj.art-361dd41d07234a4ab1f880bdb478d569 |
| institution | Directory Open Access Journal |
| issn | 1110-5704 1961-9987 |
| language | English |
| last_indexed | 2024-12-12T13:43:28Z |
| publishDate | 2020-10-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | African Journal of Urology |
| spelling | doaj.art-361dd41d07234a4ab1f880bdb478d5692022-12-22T00:22:44ZengSpringerOpenAfrican Journal of Urology1110-57041961-99872020-10-012611510.1186/s12301-020-00054-5Penile fracture in a Peyronie’s disease patient: a case reportNur Hidayatullah0Khoirul Kholis1Muhammad Asykar Palinrungi2Syakri Syahrir3Syarif Syarif4Muhammad Faruk5Department of Surgery, Faculty of Medicine, Hasanuddin UniversityDivision of Urology, Department of Surgery, Faculty of Medicine, Hasanuddin UniversityDivision of Urology, Department of Surgery, Faculty of Medicine, Hasanuddin UniversityDivision of Urology, Department of Surgery, Faculty of Medicine, Hasanuddin UniversityDivision of Urology, Department of Surgery, Faculty of Medicine, Hasanuddin UniversityDepartment of Surgery, Faculty of Medicine, Hasanuddin UniversityAbstract Background Penile curvature in men with Peyronie’s disease (PD)—caused by tunica anchoring plaques with loss of focal fiber elasticity—theoretically increases the risk of penile fracture during sexual activity. Penile fracture is the result of tearing of the tunica albuginea of one or both corpora cavernosa, usually during sexual intercourse, and is among the most serious urological emergencies. Generally, a patient presented to a surgical emergency within 48 h of injury can be handled successfully with minimum complications. Immediate surgical treatment is the current standard of care and has a relatively low risk of late complications. Case presentation We present a case of penile fracture in a male with a history of PD referred to the emergency department with severe pain. Clinical history assessment and physical examination revealed a penile fracture with underlying PD. He underwent emergency surgical exploration via subcoronal incision. Penile plication was not necessary for our case because the angulation of the penis was less than 15° after examination of artificial erection. Conclusion Penile fracture in a patient with underlying PD is a rare urological emergency that should be treated surgically with fracture repair as early as possible. Penile plication might be necessary in severe cases (angulation > 60°).http://link.springer.com/article/10.1186/s12301-020-00054-5Penile fractureTunica albugineaPeyronie’s diseaseCase report |
| spellingShingle | Nur Hidayatullah Khoirul Kholis Muhammad Asykar Palinrungi Syakri Syahrir Syarif Syarif Muhammad Faruk Penile fracture in a Peyronie’s disease patient: a case report African Journal of Urology Penile fracture Tunica albuginea Peyronie’s disease Case report |
| title | Penile fracture in a Peyronie’s disease patient: a case report |
| title_full | Penile fracture in a Peyronie’s disease patient: a case report |
| title_fullStr | Penile fracture in a Peyronie’s disease patient: a case report |
| title_full_unstemmed | Penile fracture in a Peyronie’s disease patient: a case report |
| title_short | Penile fracture in a Peyronie’s disease patient: a case report |
| title_sort | penile fracture in a peyronie s disease patient a case report |
| topic | Penile fracture Tunica albuginea Peyronie’s disease Case report |
| url | http://link.springer.com/article/10.1186/s12301-020-00054-5 |
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