Delayed approach of a penile fracture with encapsulated hematoma.

Autor: Salles da Silva Filho, Fernando, Favorito, Luciano A., Vieiralves, Rodrigo R., Rezende, Jose Anacleto D.
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Zdroj: Urology Annals; Jul-Sep2023, Vol. 15 Issue 3, p349-351, 3p
Abstrakt: Penile fracture (PF) is defined as the rupture of the tunica albuginea (TA) of the corpora cavernosa (CC) caused by trauma to the erect penis. We present a case and clinical evolution of the delayed approach of PF. Physical examination showed a ventral rounded mass in the middle surface of the penile shaft, associated with mild discoloration and edema. Surgery was performed with a vertical penoscrotal incision. We found an encapsulated hematoma on the right ventral mid penile shaft connected at its base to an approximate 1 cm transverse defect on the TA and we performed debridement and excision of the hematoma. Tunical defect was repaired with PDS 3/0 simple suture. The patient had a great postoperative evolution without local complications. The early diagnosis and surgical treatment reaches better functional results, with maintenance of erectile function in patients with penile fracture. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index