Surgical repair of fractured penis

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The tunica albuginea is torn during coitus or as a result of external forces, resulting in sudden pain, swelling, and discoloration of the penis. Treatment of the injury aims at full functional and cosmetic recovery. However, surgical repair eliminates resultant deformity and allows for earlier hospital discharge.

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Penile fracture is rupture of one or both of the tunica albugineathe fibrous coverings that envelop the penis's corpora cavernosa. It is caused by rapid blunt force to an erect penisusually during Sexual intercourseor aggressive masturbation. A popping or cracking sound, significant pain, swelling, immediate loss of erection leading to flaccidity, and skin hematoma of various sizes are commonly associated with the sexual event.

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Distinguishing penile ecchymosis from a true penile fracture, or a rupture through the tunical albuginea, can be a challenging clinical conundrum. A penile fracture typically occurs in the setting of blunt penile trauma to the erect penis, most often during sexual intercourse or masturbation. Physical examination findings may vary significantly in patients with a history suggestive of penile fracture, and the severity of the penile ecchymosis frequently does not correlate with the presence or absence of tunical rupture.

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Forgotten your password? Fracture of the penis is not uncommon and usually occurs during intercourse when the erect penis forcefully hits against the perineum or symphysis pubis. The aetiology varies with geographical area, and additionally penile self-manipulation is more common in the Middle East. While imaging may be used as an adjunct to aid diagnosis, especially in equivocal cases, it remains largely a clinical diagnosis.

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Objectives : To assess the results of delayed repair of penile fractures. Methods: The patients presenting with penile fractures constituted study group. Five of the total 7 patients were in delayed group.

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Penile fracture is an infrequent urological emergency which usually results from blunt trauma to erect penis and accounts for approximately 1 inhospital admissions 1. Fracture of penis occurs when corpora cavernosa rupture with disruption of overlying fascial covering known as tunica albuginea. Penile fracture can also occur during masturbation, bending the erect penis to achieve de-tumescence and rolling over in bed 3.

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Among the phrases that men dread to speak, "I broke my penis," is likely near the top of the list. Fortunately, penile fractures are a relatively rare occurrence. They mostly occur in young men, and they mostly occur during intercourse.

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Patients typically describe immediate detumescence, severe pain, and swelling as a result of the injury. Prompt surgical exploration and corporal repair is the most efficacious therapy. Although a majority of cases can be diagnosed from the history and physical examination alone, radiographic studies, including retrograde urethrography and corporal cavernosography can aid in the diagnosis of unusual cases. Here, we present a sample case, review the current literature, and discuss the diagnostic and surgical dilemmas posed by this relatively common trauma.

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These actions may lead to a fracture of the penis. The purpose of this retrospective study is to review the effect of early surgical exploration and repair of penile fractures and to report the overall healing of these injuries and the patient's ability to regain erectile function. Their mean age was 27 years range, years.

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Box 77, Korle Bu, Accra, Ghana. To present our experience with diagnosis and surgical management of penile fracture. We present six cases of penile fracture managed at our unit between and The diagnosis was based on clinical presentation and physical examination.


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