CASE REPORT

Management of 14 hours penile fracture: a case report

Johannes Cansius Prihadi , Kevin Anthony Glorius Tampubolon, Dicky Dicky

Johannes Cansius Prihadi
Department of Urology, St. Carolus Hospital, Jakarta, Indonesia. Email: [email protected]

Kevin Anthony Glorius Tampubolon
Department of Urology, St. Carolus Hospital, Jakarta, Indonesia

Dicky Dicky
Department of Surgery, Division of Urology, Faculty of Medicine, Universitas Katolik Atma Jaya, Jakarta, Indonesia
Online First: December 01, 2019 | Cite this Article
Prihadi, J., Tampubolon, K., Dicky, D. 2019. Management of 14 hours penile fracture: a case report. Bali Medical Journal 8(3). DOI:10.15562/bmj.v8i3.1594


Introduction: Penile fracture is a rare urological emergency that needs immediate repair. It is usually caused by trauma in its origin, whether during sexual intercourse, exotic self-inflicted, fall, or vehicle-related. Tunica albuginea and/or corpus cavernosa are severed, it can sometimes be accompanied by rupture of the urethra. Immediate surgical repair should be done as soon as possible to prevent further complication.

Case Presentation: A 52 years old male comes with swelling and severe pain on his penis 14 hours following sexual intercourse with his partner. No blood in the external meatal nor hematuria was present, and there were no abnormal passing of urine complained. Immediate repair of the corpus cavernosum was performed. The penis was degloved and the corporal tear was closed using absorbable suture. 8 hours following surgery, the patient had a morning erection and no early signs of complication observed.

Conclusion: Immediate surgical repair should be presented after penile fracture was diagnosed. Emergency surgical repair can preserve voiding and sexual function.

References

Bozzini G, Albersen M, Otero JR, Margreiter M, Cruz EG, Mueller A, et al. Delaying Surgical Treatment of Penile Fracture Results in Poor Functional Outcomes: Results from a Large Retrospective Multicenter European Study. Eur Urol Focus. 2018;4(1):106–10.

Galanakis I, Adamos K, Spyropoulos E, Mavrikos S. Delayed Successful Surgical Repair of Penile Fracture: A Case Report. Curr Urol. 2019 Mar 8;12(2):111–2.

Chahal A, Gupta S, Das C. Penile fracture. BMJ Case Rep. 2016: bcr2016215385. DOI: 10.1136/bcr-2016-215385

Fode M. Quantification of Surgical Delay in Penile Fractures. Eur Urol Focus. 2018;4(1):111-112.

EAU Guidelines: Urological Trauma | Uroweb [Internet]. [cited 2019 Aug 18]. Available from: https://uroweb.org/guideline/urological-trauma/#4_4

Galanakis I, Adamos K, Spyropoulos E, Mavrikos S. Delayed Successful Surgical Repair of Penile Fracture: A Case Report. Curr Urol. 2019;12(2):111–2.

Barroso FM da S, Paiva CS, Rodriguez JER, Cabral BTF, Araujo HD de, Souza PM de. Recurrent bilateral penile fracture: Case report. Urol Case Rep. 2018;21:32–3.

Yan C, Liang B-X, Huang H-B, Liang B-R, Zhou Z, Wang L-J, et al. CT-guided minimally-invasive penile fracture repair. Int Braz J Urol Off J Braz Soc Urol. 2019;45(1):183–6.

Hassali MA, Nouri AI, Hamzah AA, Verma AK. Role of Penile Doppler as a Diagnostic Tool in Penile Fracture. J Med Ultrasound. 2018;26(1):48–51.

Koifman L, Barros R, Junior RAS, Cavalcanti AG, Favorito LA. Penile Fracture : Diagnosis, Treatment and Outcomes of 150 Patients. Urology. 2010;76(2):1488-92.

Marcu DR, Spinu DA, Cozma CN, Raducu L, Oprea IA, Mischianu DVL, et al. Penile Fracture with Unilateral Corporeal Rupture – Case Report and Review of the. Balkan Medical Union. 2018;52(3): 342-48.

Alnadhari I, Abdelhaleem Abdeljaleel O, Sampige VRP, Abdulmuhsin A, Shamsodini A. Penile Fracture: Simultaneous Complete Urethral Rupture with Bilateral Corpora Cavernosa Rupture. Case Rep Urol. 2018;2018:4929518.

Amer T, Wilson R, Chlosta P, AlBuheissi S, Qazi H, Fraser M, et al. Penile Fracture : A Meta-Analysis. Urologia Internat. 2016;96:315-29.


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