Delayed approach of a penile fracture with encapsulated hematoma
Penile fracture (PF) is defined as the rupture of the tunica albuginea (TA) of the corpora cavernosa (CC) caused by trauma to the erect penis. We present a case and clinical evolution of the delayed approach of PF. Physical examination showed a ventral rounded mass in the middle surface of the penil...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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Series: | Urology Annals |
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Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2023;volume=15;issue=3;spage=349;epage=351;aulast=Filho |
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author | Fernando Salles da Silva Filho Luciano A Favorito Rodrigo R Vieiralves Jose Anacleto D. Rezende |
author_facet | Fernando Salles da Silva Filho Luciano A Favorito Rodrigo R Vieiralves Jose Anacleto D. Rezende |
author_sort | Fernando Salles da Silva Filho |
collection | DOAJ |
description | Penile fracture (PF) is defined as the rupture of the tunica albuginea (TA) of the corpora cavernosa (CC) caused by trauma to the erect penis. We present a case and clinical evolution of the delayed approach of PF. Physical examination showed a ventral rounded mass in the middle surface of the penile shaft, associated with mild discoloration and edema. Surgery was performed with a vertical penoscrotal incision. We found an encapsulated hematoma on the right ventral mid penile shaft connected at its base to an approximate 1 cm transverse defect on the TA and we performed debridement and excision of the hematoma. Tunical defect was repaired with PDS 3/0 simple suture. The patient had a great postoperative evolution without local complications. The early diagnosis and surgical treatment reaches better functional results, with maintenance of erectile function in patients with penile fracture. |
first_indexed | 2024-03-12T13:43:36Z |
format | Article |
id | doaj.art-ebc03d74a5044980a74f8e1e07be3c31 |
institution | Directory Open Access Journal |
issn | 0974-7796 0974-7834 |
language | English |
last_indexed | 2024-03-12T13:43:36Z |
publishDate | 2023-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Urology Annals |
spelling | doaj.art-ebc03d74a5044980a74f8e1e07be3c312023-08-23T09:47:48ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342023-01-0115334935110.4103/UA.UA_103_20Delayed approach of a penile fracture with encapsulated hematomaFernando Salles da Silva FilhoLuciano A FavoritoRodrigo R VieiralvesJose Anacleto D. RezendePenile fracture (PF) is defined as the rupture of the tunica albuginea (TA) of the corpora cavernosa (CC) caused by trauma to the erect penis. We present a case and clinical evolution of the delayed approach of PF. Physical examination showed a ventral rounded mass in the middle surface of the penile shaft, associated with mild discoloration and edema. Surgery was performed with a vertical penoscrotal incision. We found an encapsulated hematoma on the right ventral mid penile shaft connected at its base to an approximate 1 cm transverse defect on the TA and we performed debridement and excision of the hematoma. Tunical defect was repaired with PDS 3/0 simple suture. The patient had a great postoperative evolution without local complications. The early diagnosis and surgical treatment reaches better functional results, with maintenance of erectile function in patients with penile fracture.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2023;volume=15;issue=3;spage=349;epage=351;aulast=Filhoerectile dysfunctionpenile fracturepenile hematomapenile trauma |
spellingShingle | Fernando Salles da Silva Filho Luciano A Favorito Rodrigo R Vieiralves Jose Anacleto D. Rezende Delayed approach of a penile fracture with encapsulated hematoma Urology Annals erectile dysfunction penile fracture penile hematoma penile trauma |
title | Delayed approach of a penile fracture with encapsulated hematoma |
title_full | Delayed approach of a penile fracture with encapsulated hematoma |
title_fullStr | Delayed approach of a penile fracture with encapsulated hematoma |
title_full_unstemmed | Delayed approach of a penile fracture with encapsulated hematoma |
title_short | Delayed approach of a penile fracture with encapsulated hematoma |
title_sort | delayed approach of a penile fracture with encapsulated hematoma |
topic | erectile dysfunction penile fracture penile hematoma penile trauma |
url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2023;volume=15;issue=3;spage=349;epage=351;aulast=Filho |
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