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Emergency Surgery
Published in Tjun Tang, Elizabeth O'Riordan, Stewart Walsh, Cracking the Intercollegiate General Surgery FRCS Viva, 2020
Alastair Brookes, Yiu-Che Chan, Rebecca Fish, Fung Joon Foo, Aisling Hogan, Thomas Konig, Aoife Lowery, Chelliah R Selvasekar, Choon Sheong Seow, Vishal G Shelat, Paul Sutton, Colin Walsh, John Wang, Ting Hway Wong
Why does a penile fracture occur?As the penis changes from flaccid to erect, the tunica albuginea thins from 2 to 0.5 mm, stiffens and loses elasticity predisposing it to injury and fracture. The tunica albuginea is thinnest ventrally, making it most prone to injury.
The Abdomen
Published in Kenneth D Boffard, Manual of Definitive Surgical Trauma Care: Incorporating Definitive Anaesthetic Trauma Care, 2019
Immediate surgical intervention is recommended for the following conditions: All penetrating injuries of the posterior urethra and most of the anterior urethra.Posterior urethral injuries associated with rectal injuries and bladder neck injuries.Where there is wide separation of the ends of the urethra.Penile fracture.
Urinary Symptoms and Investigations
Published in Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie, Bailey & Love's Short Practice of Surgery, 2018
Professor Sir Norman Williams, Professor P. Ronan O’Connell, Professor Andrew W. McCaskie
Penile fracture occurs when there is trauma to the erect penis. Classically, there is an audible crack and immediate penile detumescence and the patient presents with gross bruising of the penile shaft skin.
Penile reconstruction: An up-to-date review of the literature
Published in Arab Journal of Urology, 2021
Nicholas Ottaiano, Joshua Pincus, Jacob Tannenbaum, Omar Dawood, Omer Raheem
Penile trauma can occur due to a variety of reasons. Unfortunately, the incidence is under reported in the literature due to failure to seek medical attention for psychological and ethical reasons [9]. Penile fracture (PF) is a urological emergency that occurs when there is a tear in the tunica albuginea and, occasionally, rupture of the corpus cavernosum. The most common aetiology of PF in the USA is due to sexual intercourse. This is primarily a diagnosis made on history and physical examination alone, although imaging in the form of ultrasonography can be of use if uncertainty remains [10]. Patients typically report an inciting event resulting in an audible cracking followed promptly by pain. Physical examination often shows penile deformity classically described as an ‘eggplant deformity’, ecchymosis, and oedema [11] (Figure 3 [12]).
A state-of-art review on collagenase Clostridium Histolyticum and Peyronie’s disease: drug profile, clinical evidence and safety outcomes
Published in Expert Opinion on Biological Therapy, 2020
Eric Chung, Susan Scott, Juan Wang
Pooled analysis of six clinical trials including IMPRESS I and II, incorporating 1044 patients, reported at least a single treatment-related adverse events (TAE) in 86% of participants following CCH therapy [33,34]. The severity of TAEs reported was generally minor to moderate in severity with spontaneous resolution in 79% of cases. Primary TAEs reported within the pooled population data included penile pain, ecchymosis and edema. Patients with <30° penile curvature who received CCH therapy reported higher rates of penile swelling (21.1% vs 14.5%, p = 0.007), penile hemorrhage (12.8% vs 8.9%; p = 0.046), and skin hyperpigmentation (1.0% vs 0.1%; p = 0.025) [34]. Nine patients (0.9%) had TAEs: five with penile hematoma and four with corporal rupture [33]. In another study, the incidence of late-onset penile fracture was found in 5 (4.9%) out of 102 patients treated with four of these occurred outside the 14-day observation period [35]. One fracture was managed conservatively, and the rest underwent surgical exploration and repair.
Isolated penile corporeal cavernosal injury accompanying pelvic fracture after motor vehicle accident
Published in Baylor University Medical Center Proceedings, 2022
Mohamed Elsaqa, Ryan Morris, Lester Wang, Marawan M. El Tayeb
Pelvic fracture is a common cause of posterior urethral distraction injury, accompanying about 3% to 7.1% of pelvic fractures.1 Penile corpus cavernosus injury (penile fracture) usually occurs with sudden bend of the erected penile shaft during sexual intercourse. Penile fracture requires surgical exploration and repair of the corporeal defect.2 A few case reports have reported a proximal corporeal tear, with sparing of the penile shaft, associated with sexual intercourse.3–6 We report a rare case of proximal corporal cavernosal injury associated with pelvic fracture with sparing of the urethra.