Penile fracture imaging skin#

A circular dressing prevents further swelling after skin closure.Ĭare after surgical therapy: antiandrogens (e.g., bicalutamide 50 mg 1-0-0 for two weeks) or benzodiazepines help against painful erections. Care is taken to identify and suture a urethral injury, the urethral catheter should be left for 3–7 days depending on the severity of urethral injury. The tunica albuginea is sutured with absorbable sutures (2-0 or 3-0). Alternatively, direct incision at the fracture location is possible, when preoperative imaging is reliable. A circumcising incision is used to approach the penile shaft is the location of the rupture is not clear before the operation. A urethral catheter is inserted before operation. Surgical Treatment of penile FractureĮmergency surgery is probable not necessary, since elective operations have equal good results (el-Assmy et al., 2011). Prophylactic antibiotics are recommended in surgical and conservative therapy of the penile fracture. Treatment of penile fracture Prophylactic antibiotics Bohndorf, Augsburg.ĭifferential Diagnosis of Penile FractureĪcute subcutaneous bleeding through a venous tear can be confused with a penile fracture. MRI of a penile fracture (on the left horizontal and on the right frontal recontructions): the defect is visible at the right corpus cavernosum. Magnetic resonance imaging can reliably demonstrate the localization of the penis fracture or exclude the diagnosis. Cavernosography is not necessary with typical signs and symptoms. Ultrasound diagnosis of a penile fracture (left perpendicular and right longitudinal axis to the penile shaft): in both axis the defect of the tunica albuginea with hematoma is visible.Ĭavernosography of the penis can reliably exclude a penile fracture in doubtful cases. It is not reliable enough for the exclusion of the diagnosis. Penile Ultrasound Imaging Penile ultrasound imaging with a 10 MHz transducer may show the defect of the tunica albuginea. When the diagnosis is uncertain, following imaging studies are recommended. When patients present the typical signs and symptoms, a surgical exposure of the penile shaft is justified without further diagnostic workup. Penile instability with erectile dysfunction.Hematoma infection and abscess formation.Bloody discharge from the urethra is a sign of concomitant urethral injury. A defect in the tunica albuginea may be palpable, the penis bends to the non-ruptured side. Typically, a sudden detumenescense occurs and a massive penile hematoma develops. Patients report a traumatic bending of the erect penis, often with a cracking noise. Furthermore, penile fractures are caused by masturbation practices with bending of the penile shaft during erection (practice of taghaandan). Penile fracture usually arises from a bending trauma during vigorous sexual intercourse, especially when the penis slips out of the vagina. Very rarely, 1 of 175.000 hospital admissions. Traumatic rupture of the corpora of the penis during erection is called a penile fracture (Sawh et al., 2008). You are here: Urology Textbook > Penis > Balanitis Penile Fracture: Injury of the Penis Corpora Definition Penile Fracture: Injury of the Penis Corpora

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