Urol. praxi. 2022;23(4):199-200 | DOI: 10.36290/uro.2022.052

Penile fracture associated with urethral injury

MUDr. Marika Nesvadbová, MUDr. Igor Hartmann, Ph.D.
Urologická klinika FN Olomouc

Penile fracture with associated urethral injury is a rare acute condition in urology. The diagnosis is mainly based on medical history, physical examination, retrograde urethrography (in the case of suspected urethral injury), and/or magnetic resonance imaging (MRI). When penile fracture with urethral injury has been demonstrated or if there is diagnostic doubt, surgical revision with suture of the tunica albuginea and urethra is indicated. Conservative treatment is not recommended because of the risk of complications (erectile dysfunction, penile curvature, urethral stricture).

Keywords: penile fracture, rupture of corpus cavernosum, urethral lesion, urethral injury, urethrorrhagia, retrograde urethrography.

Accepted: November 23, 2022; Published: December 5, 2022  Show citation

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Nesvadbová M, Hartmann I. Penile fracture associated with urethral injury. Urol. praxi. 2022;23(4):199-200. doi: 10.36290/uro.2022.052.
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References

  1. Barros R, Schulze L, Ornellas AA, et al. Relationship between sexual position and severity of penile fracture. Int J Impot Res. 2017;29:207-209. Go to original source... Go to PubMed...
  2. Zargooshi J. Sexual function and tunica albuginea wound healing following penile fracture: An 18-year follow-up study of 352 patients from Kermanshah, Iran. J Sex Med. 2009;6:1141-1150. Go to original source... Go to PubMed...
  3. Nicolaisen GS, Melamud A, Williams RD, McAninch JW. Rupture of the corpus cavernosum: Surgical management. J Urol. 1983;130:917-919. Go to original source... Go to PubMed...
  4. Falcone M, Garaffa G, Castiglione F, Ralph DJ. Current Management of Penile Fracture: An Up-to-Date Systematic Review. Sex Med Rev. 2018;6:253-260. Go to original source... Go to PubMed...
  5. Feragany AF, Angermeier KW, Montague DK. Review of Cleveland clinic experience with penile fracture. Urology. 1999;54:352-355. Go to original source... Go to PubMed...
  6. Beysel M, Tekin A, Gurdal M, et al. Evaluation and treatment of penile fractures: accuracy of clinical diagnosis and the value of corpus cavernosography. Urology. 2002;60:492-496. Go to original source... Go to PubMed...
  7. Fedel M, Venz S, Andreessen R, et al. The value of magnetic resonance imaging in the diagnosis of suspected penile fracture with atypical clinical findings. J Urol. 1996;155(6):1924-1927. Go to original source... Go to PubMed...
  8. Mydlo JH, Hayyeri M, Macchia RJ. Urethrography and cavernosography imaging in a small series of penile fractures: a comparison with surgical findings. Urology. 1998;51:616-619. Go to original source... Go to PubMed...
  9. Kominsky, H, et al. Surgical reconstruction for penile fracture: a systematic review. Int J Impot Res. 2020;32:75. Go to original source... Go to PubMed...
  10. De Giorgi G, Luciani LG et al. Early surgical repair of penile fractures: our experience. Arch Ital urol Androl. 2005;77(2):103.
  11. Derouiche A, et al. Management of penile fractures complicated by urethral rupture. Int J Impot Res. 2008;20:111. Go to original source... Go to PubMed...
  12. Breza J. Fraktura penisu, In: Breza, J.: Erektilné poruchy - anatomické a funkčné základy, diagnostika a liečba. Osveta, Martin, SR, 1994:259-266.




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