Traumatic Tri-Corporal Penile Fracture, A Step-by-Step Surgical Repair

Image

Abstract

Authors

Marciano, O, Pathuri, M, Gam, K, Raheem, O.A.

Key Words

Penile fracture, penile repair

Description

Penile fracture can occur after forced flexion of the erect penis, resulting in rupture of the tunica albuginea. These traumatic injuries require urgent urologic evaluation and prompt diagnosis, with surgical repair being the standard of care. This video outlines the presentation, surgical indications, surgical repair, and post-operative course of a penile fracture repair.

 

References

1. Morey AF, Zhao LC. Genital and lower urinary tract trauma. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, editors. Campbell‐Walsh Urology. 11th ed. Philadelphia: Elsevier; 2016. p. 2379‐92. 

2. De Rose AF, Giglio M, Carmignani G. Traumatic rupture of the corpora cavernosa: new physiopathologic acquisitions. Urology. 2001 Feb;57(2):319-22. 

3. Bitsch M, Kromann-Andersen B, Schou J, Sjøntoft E. The elasticity and the tensile strength of tunica albuginea of the corpora cavernosa. J Urol. 1990 Mar;143(3):642-5. 

4. Amer T, Wilson R, Chlosta P, AlBuheissi S, Qazi H, Fraser M, Aboumarzouk OM. Penile Fracture: A Meta-Analysis. Urol Int. 2016;96(3):315-29. 

5. Beilan JA, Wallen JJ, Baumgarten AS, Morgan KN, Parker JL, Carrion RE. Intralesional Injection of Collagenase Clostridium histolyticum May Increase the Risk of Late-Onset Penile Fracture. Sex Med Rev. 2018 Apr;6(2):272-278.

6. Rodriguez D, Li K, Apoj M, Munarriz R. Epidemiology of Penile Fractures in United States Emergency Departments: Access to Care Disparities May Lead to Suboptimal Outcomes. J Sex Med. 2019 Feb;16(2):248-256.

7. Morey AF, Broghammer JA, Hollowell CMP, McKibben MJ, Souter L. Urotrauma Guideline 2020: AUA Guideline. J Urol. 2021 Jan;205(1):30-35. 

8. Metzler IS, Reed-Maldonado AB, Lue TF. Suspected penile fracture: to operate or not to operate? Transl Androl Urol. 2017 Oct;6(5):981-986

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