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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Main Authors: Fernando Salles da Silva Filho, Luciano A Favorito, Rodrigo R Vieiralves, Jose Anacleto D. Rezende
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Urology Annals
Subjects:
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.
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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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AT lucianoafavorito delayedapproachofapenilefracturewithencapsulatedhematoma
AT rodrigorvieiralves delayedapproachofapenilefracturewithencapsulatedhematoma
AT joseanacletodrezende delayedapproachofapenilefracturewithencapsulatedhematoma