Penile Fracture : Experience from a Tertiary Care Hospital
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Keywords

Penile fracture
Dopler USG
Masturbation

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1.
Ahmad MS, Mir IN, Abbass MF. Penile Fracture : Experience from a Tertiary Care Hospital. Integr J Med Sci [Internet]. 2019 May 16 [cited 2022 Oct. 5];6. Available from: https://www.mbmj.org/index.php/ijms/article/view/97

Abstract

Introduction: Penile fracture is a misnomer, penile fracture is defined as rupture of the tunica albuginea of one or both corpus cavernosum. The usual cause is abrupt bending of the erect penis by blunt trauma, which may occur during sexual intercourse, masturbation, rolling over on the bed, or falling onto the erect penis. Diagnosis of penile fracture is made on the basis of history and physical examination. the standard model of management is surgical.
Methods: This retrospective study was conducted in the department of surgery SMHS hospital Srinagar,(Jammu and Kashmir), extending over a period of about three and a half years from June 2013 to January 2017. All patients with diagnosed penile fracture were included in this study. All except one patient were operated on the same day of admission.
Results: out of a total of 50 patients studied, the mean age of presentation was 26.7 years. The majority (56%)were below 30 years of age.21 (42%) of the patients were married.majority42% of the patients reported masturbation as a cause of trauma, followed by vaginal intercourse in38% and rolling on the erect penis in 20%. About 80% of patients gave a history of audible click/crackling sound. All patients had swelling and discoloration on examination,90% of patients had a penile deformity, only 36 % had a palpable defect. Doppler USG was correct in 93% of patients. The majority (44%) of patients had defects less than 1cm. the defect was mostly seen on the right side (68%).most patients had proximal penile defect (56%). Mean hospital stay was 2.9 days. One patient (2%) had urethral trauma.Surgery had a recurrence of 2%.and a total postoperative complication rate of 10%.
Conclusions: Penile fracture though reported rarely, is a common entity. Penile fracture is a urological emergency.Diagnosis is mainly on clinical grounds.Immediate surgical repair is the standard treatment of a penile fracture.

https://doi.org/10.15342/ijms.v6ir.254
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References

Bhuyian ZH, Khan SA, Tawhid MH, Islam MF. Personal series with clinical review of fracturepenis. Mymensingh Med J. 2007 Jul;16(2):187-90.

Eke N. Fracture of penis. Br J Surg. 2002 May; 89(5):555-65. https://doi.org/10.1046/j.1365-2168.2002.02075.x

Koga S, Saito Y, arakaki Y, Nakamura N, Matsuoka M , Saita H, et al. Sonography in fracture of penis. Br j urol. 1993 Aug;72(2);228-9. https://doi.org/10.1111/j.1464-410x.1993.tb00693.x

Jack GS, Garraway I, Reznichek R, Rajfer J. Current treatment options for penile fracture. Rev urol. 2004;6(3):114-20. [Accessed 1 Jul 2021]. Available From: http://medreviews.com/sites/default/files/2016-11/RIU_63_114_0.pdf

Paul D.Ekwere FRCS and Mohammed Al-Rashid FRCSI.Trends in the incidence,clinical presentation and management of traumatic rupture of the corpus cavernosum. J Natl Med Assoc. 2004 Feb ;96(2):229-233.

Z Athar, PR Chalise, UK Sharma, PR Gyawali, GK Shrestha and BR Joshi.Penile fracture at Tribhuvan University Teaching Hospital. A retrospective analysis. Nepal Med Coll J 2010; 12(2):66-68.

Benefelloun M, Rabii R, Bennani S, Querfani B, Jonal A, El MriniMN. Fracture of the corpuscavernosum: report of 123 cases. Afr J Urol. 2003; 9:1-10.

Taha Abdel Nasser, MD, and TaymourMostafa, MD.Delayed surgical repair of penile fracture under local Anaesthesia. J Sex Med. 2008 Oct; 5(10):2464-2469. https://doi.org/10.1111/j.1743-6109.2008.00851.x

Shih H, Wenzhou L, Chang HK, StoneYang, Hsu JM, Chen M, et Al. Penile fracture: Analysis of 13 patients a literature review. JTUA. 2007; 18(2):99-101.[Accessed 1 Jul 2021]. Available From: https://www.airitilibrary.com/Publication/alDetailedMesh?docid=10163220-200706-18-2-99-101-a

Wani I. Management of penile fracture. Oman Med J. 2008 Jul;23(3): 162-5. [Accessed 01 Jul 2021]. Available From: http://www.omjournal.org/PDF/OMJ-D-08-00044.pdf

Muqim R, Alam AJ, Zarin M. Management of penile fracture. Pak J Med Sci. Jan-Mar 2006; 22(1):23-27. [Accessed 01 Jul 2021]. Available From: https://vlibrary.emro.who.int/imemr/management-of-penile-fracture/

Gregory S, Jack M, Garrawy I, Reznick R, Rajfer J. Current treatment options for penile fracture. Rev Urol. 2004; 6(3):114-20. [Accessed 01 Jul 2021]. Available From: http://citeseerx.ist.psu.edu/viewdoc/downloaddoi=10.1.1.572.506&rep=rep1&type=pdf

Gedik A, Kayan D, Yilmaz S, Bircan K. The diagnosis and treatment of penile fracture: Our 19-year experience. Turkish J Traum Emerg Surg. 2011 Jan; 17(1):57-60. https://dx.doi.org/10.5505/tjtes.2011.93763

Soylu A, Yilmaz U, Davarci M, Baydinc C. Bilateral disruption of corpus cavernosum with complete urethral rupture. Int J Urol. 2004 Sep; 11(9):811-2. https://doi.org/10.1111/j.1442-2042.2004.00885.x

Derouche A, Belhaj K, Hentali H, Hafsia G, Shama MR, Chelbil M. Management of penile fractures complicated by urethral rupture. Int J Impot Res. Jan-Feb 2008; 20(1):111-4. https://doi.org/10.1038/sj.ijir.3901599

Pandyan GV, Zaharani AB, Al Rashid M. Fracture penis: An analysis of 26 Cases. Scientific World Journal. 2006 Jan 29;6: 2327-33. https://doi.org/10.1100/tsw.2006.363

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Copyright (c) 2019 Malik Suhail Ahmad et al.

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