9/23/2023 0 Comments Penile fracture surgeryThis is particularly important when the recommended agent is a new and/or infrequently employed drug. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. Usage and distribution for commercial purposes as well as any distribution of modified material requires written permission. This article is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND). Immediate surgical repair is the current standard of care with lower risks of complications, including erectile dysfunction, penile curvature, and tunical scar formation, compared to conservative management or delayed repair. The diagnosis is clinical, however, a Doppler ultrasound or an MRI may be useful sometimes. In Western European countries, the injury typically occurs during sexual intercourse while in the Middle Eastern countries, the most frequent cause is reported to be forceful manipulation (65%). In 2002, Eke reported 1,642 cases worldwide with 745 (56%) coming from the Mediterranean region. Incidence and etiology of penile fracture varies considerably within different geographic areas. Rupture may extend to the corpus spongiosum and the urethra. It occurs after traumatic rupture of the tunica albuginea of one or both corpora cavernosa, due to twisting or bending of the penile shaft during erection. ![]() (2019) 7 (1): 83-88.Penile fracture is a very rare or, probably, a rarely reported urological emergency. Persaud S, Persaud M, Naraynsingh, V., 2019. (2015) Journal of clinical and diagnostic research : JCDR. Role of ultraosonography in grading of penile fractures. Shukla AK, Bhagavan BC, Sanjay SC, Krishnappa N, Sahadev R, V S. The Management of Penile Fracture Based on Clinical and Magnetic Resonance Imaging Findings. Abolyosr A, Moneim A, Abdelatif A, Abdalla M, Imam H. MRI of Penile Fracture: Diagnosis and Therapeutic Follow-Up. Bhatt S, Kocakoc E, Rubens D, Seftel A, Dogra V. Urethral rupture or post-traumatic stricture can be depicted by this imaging. This invasive interventional procedure is often avoided but may depict the tear in corpora cavernosa. It can also accurately depict the depth and extent of the tear. MRI can accurately determine if the fracture is transversely or longitudinally oriented. A tear can be seen as T2 hyperintense breach. Tunica albuginea is a hypointense band on all sequences. An associated collection or hematoma may also be seen alongside the breach. A hypoechoic breach in this band of fibrous tissue may be seen especially along the penile longitudinal axis. The tunica albuginea is usually seen as a hyperechoic linear band in the penis covering the corpora cavernosa and the corpus spongiosum. A retrograde urethrogram may be of use in the post-operative period particularly if there is urethral involvement. MRI of the penis is the most useful study to determine the extent of injury. 5 proposed an ultrasound-based grading system of penile rupture that is helpful in defining the extent of the injury.Įmergency ultrasound is usually the initial imaging modality, but because the penis is often markedly swollen and painful, it may not be worthwhile. a more common etiology in Middle Eastern populationsįractures usually occur in distal two-thirds of the penis 1, and is usually unilateral, being more common on the right 7.the practice of 'taqaandan': manually bending the erect penis to achieve detumescence. ![]() non-sexual trauma involving an erect penis (e.g.during vaginal sexual intercourse is most common cause in Western populations. ![]()
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