Penile fracture

Ref2242ed to as blunt direct trauma to an erect or semi erect penis.

Can lead to complete erectile dysfunction or penile deviation.

The tunica albuginea ruptures do to increased intracorporal pressure.

Most common cause is sexual intercourse, but may result from any type of blunt trauma.

Results in rupture of the tunica albuginea, corpora cavernosa, corpus spongiosum, and possibly the urethra.

Typical presentation is penile pain, cracking sound, rapid detumescence and penile swelling with or without ecchymoses.

When ecchymoses present it may be confined to Buck’s fascia or extend into the scrotum, perineum, suprapubic and inguinal areas and be associated with massive edema.

Caversonography precisely locates the site of the fracture.

If urethra is suspected to be injured urethrography is mandatory.

Concomitant urethral injuries present in 0-38% of cases.

Bilateral tunica albuginea rupture demands urethral evaluation.

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