An unusual presentation of penile fracture with complete transection of urethra: a case report.

Autor: Dunna V; Department of Urology, Citizens Speciality Hospital, Hyderabad, Telangana 500019, India., Giduturi SR; Department of Urology, NRI Medical College and General HospitalChinakakani, Andhra Pradesh 522503, India., Chary KSN; Department of Urology, Citizens Speciality Hospital, Hyderabad, Telangana 500019, India., Kutikuppala LVS; Department of General Surgery, Dr YSR University of Health Sciences, Vijayawada, Andhra Pradesh 520008, India., Jose AM; Department of Surgery, Datta Meghe Institute of Medical Sciences, Wardha, Maharashtra 442004, India., Golla V; Department of Surgery, International School of Medicine (ISM), Bishkek 750065, Kyrgyzstan.
Jazyk: angličtina
Zdroj: Journal of surgical case reports [J Surg Case Rep] 2024 May 04; Vol. 2024 (5), pp. rjae290. Date of Electronic Publication: 2024 May 04 (Print Publication: 2024).
DOI: 10.1093/jscr/rjae290
Abstrakt: Penile fracture is one such urologic emergency that occurs when the penis is struck bluntly during sexual activity, and in less than 5-10% of cases, the concurrent urethral damage is evident, but complete transection is very rare. A 37-year-old male presented with a history of 'snap' sound and immediate detumescence of penis during intercourse, when he fell and hit the pubic bone of his partner. There was acute retention of urine, an attempt to pass a catheter failed and the patient underwent supra-pubic catheterization. On examination, there was classical 'eggplant deformity' of the penis with blood at the tip of the meatus. MRI showed a tunical tear on both sides at the penoscrotal junction with indistinct urethra and extensive hematoma in the proximal penile shaft. Surgical management was successfully done by anastomotic urethroplasty and cavernosal repair.
Competing Interests: None to disclose.
(Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2024.)
Databáze: MEDLINE
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