IJU case reports · 2021
Tri-tubular penile fracture: A case of complete rupture of urethra and bilateral corpus cavernosa.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Young Edward, Ashrafi Akbar N, Kahokehr Arman A
Аннотация
INTRODUCTION: Tri-tubular penile fracture is a very rare subset of penile fractures, typically due to high-energy trauma to the erect penis.
CASE PRESENTATION: A 26-year-old healthy man presents with a triad of audible crack, immediate detumescence, and hematoma formation, following blunt trauma sustained during vaginal sexual intercourse. A diagnosis of penile fracture is made, with intraoperative finding of a complete traumatic transection of the urethra with total bilateral corpus cavernosa disruption. Both corpora cavernosa were repaired using 2/0 polydioxanone sutures, with the dartos fascia placed in between. The urethra was repaired with interrupted 5/0 polyglactin braided absorbable suture. At 5 weeks, patient reported normal erections and sexual activity with no physical or psychological issues. The literature on management was reviewed.
CONCLUSION: Current evidence of surgical management of tri-tubular penile fractures remains predominantly expert opinion, due to difficulties of conducting prospective trials for a rare condition.
CASE PRESENTATION: A 26-year-old healthy man presents with a triad of audible crack, immediate detumescence, and hematoma formation, following blunt trauma sustained during vaginal sexual intercourse. A diagnosis of penile fracture is made, with intraoperative finding of a complete traumatic transection of the urethra with total bilateral corpus cavernosa disruption. Both corpora cavernosa were repaired using 2/0 polydioxanone sutures, with the dartos fascia placed in between. The urethra was repaired with interrupted 5/0 polyglactin braided absorbable suture. At 5 weeks, patient reported normal erections and sexual activity with no physical or psychological issues. The literature on management was reviewed.
CONCLUSION: Current evidence of surgical management of tri-tubular penile fractures remains predominantly expert opinion, due to difficulties of conducting prospective trials for a rare condition.