Abstract
Introduction: Penile fracture is a rare urological emergency associated in up to 30% of cases with injury to the anterior urethra. Recent data suggest that early surgical intervention is the best treatment strategy. This investigation describes a case of bilateral corpora cavernosa injury associated with complete rupture of the anterior urethra and presents current concepts about its management.Case presentation: 39-year-old man with bilateral corpora cavernosa injury and complete rupture of the anterior urethra, who received early surgical treatment with satisfactory early clinical outcomes. A literature review was made in PubMed and Embase, limiting the search to scientific articles published in the past 10 years using the MeSH terms “Penile diseases”, “Genital diseases, male”, “Wounds and injuries”. Some references were included given their clinical relevance. In this case, similar to international experiences, early surgical management of corpora cavernosa fractures allowed achieving adequate clinical outcomes in the patient.Conclusions: The diagnosis of penile fracture is based on clinical findings. Early surgical management should be considered as a therapy of choice. Conservative management has a higher complication rate versus early surgical management. The case described here had an adequate clinical evolution after 3 months of follow-up.
Highlights
Penile fracture is a rare urological emergency associated in up to 30% of cases with injury to the anterior urethra
The diagnosis of penile fracture is based on clinical findings
This clinical case report presents a brief literature review performed in PubMed and Embase, using the MeSH terms “Penile diseases”, “Genital diseases, male”, “Wounds and injuries”, which was limited to scientific articles published in the past 10 years. 119 articles were retrieved, and after reviewing the abstracts, 104 articles were excluded as they were not related to penile fracture
Summary
Corpora cavernosa fracture is a urological emergency, generally associated with sexual activity, which requires early surgical intervention to avoid possible functional sequelae in the penis (erectile dysfunction, abnormal curvature, painful erection, fibrotic plaque, among others). This article presents the case of a bilateral fracture of the corpora cavernosa associated with complete rupture of the anterior urethra, and describes the most recent findings in the literature on the management of this entity. This clinical case report presents a brief literature review performed in PubMed and Embase, using the MeSH terms “Penile diseases”, “Genital diseases, male”, “Wounds and injuries”, which was limited to scientific articles published in the past 10 years. The patient heard a “crack” and felt intense pain of sudden onset with immediate detumescence of the penis He consulted the emergency service 40 minutes after the event. Subcoronal incision with penile denudation was performed and the tunica albuginea was ruptured bilaterally on the ventral side of the corpora cavernosa, with complete rupture at the junction of the proximal-middle third of the penile urethra (Figure 1)
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