Delayed approach of a penile fracture with encapsulated hematoma

Autor: Fernando Salles da Silva Filho, Luciano A Favorito, Rodrigo R Vieiralves, Jose Anacleto D. Rezende
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Urology Annals, Vol 15, Iss 3, Pp 349-351 (2023)
Druh dokumentu: article
ISSN: 0974-7796
0974-7834
DOI: 10.4103/UA.UA_103_20
Popis: 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.
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