Penile fracture with urethral rupture: The feasibility of repair through penoscrotal approach

Penile fracture with an associated urethral injury is a rare urological emergency resulting from trauma to the erect penis during vigorous sexual intercourse. The patient often presents with swelling of the penis, discoloration of the penile skin, localized pain, and hematuria with a typical history...

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Bibliographic Details
Published in:Journal of emergencies, trauma and shock trauma and shock, 2022-07, Vol.15 (3), p.149-151
Main Authors: Joshi, Brij, Ranjan, Satish, Jain, Mayank, Kumar, Anant
Format: Article
Language:English
Subjects:
Case Report
Case reports
Fractures
male urological surgical procedure
penile disease
penile fracture
Penis
Sexual intercourse
Surgical techniques
Urological surgery
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Summary:Penile fracture with an associated urethral injury is a rare urological emergency resulting from trauma to the erect penis during vigorous sexual intercourse. The patient often presents with swelling of the penis, discoloration of the penile skin, localized pain, and hematuria with a typical history of sudden detumescence during intercourse. Subcoronal penile degloving incision has been conventionally described and is frequently used by many clinicians for the management of penile fracture-urethral injury. Here, we describe a case of complex penile fracture managed through the vertical penoscrotal incision. The penoscrotal approach confers excellent exposure to both the ruptured corpus cavernosum and urethra. This approach ensures successful outcomes in such an emergency procedure without having disadvantages of the degloving incision.
ISSN:0974-2700
0974-519X
DOI:10.4103/jets.jets_154_21